| Title | Venue | Year | Impact | Source |
| 4151 | SUCCESSFUL UTILIZATION OF EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO) IN A PREGNANT WOMAN WITH COVID-19 ASSOCIATED ACUTE RESPIRATORY DISTRESS SYNDROME | J Am Coll Cardiol | 2022 | | CORD-19 |
| 4152 | ACUTE STEMI WITH MULTI-TERRITORY ST-ELEVATION: A NEW PRESENTATION WITH COVID-19 | J Am Coll Cardiol | 2022 | | CORD-19 |
| 4153 | NON-ST-SEGMENT ELEVATION MYOCARDIAL INFARCTION, A SERIOUS COMPLICATION OF COVID-19 VACCINE | J Am Coll Cardiol | 2022 | | CORD-19 |
| 4154 | BAFFLING BRADYCARDIA AND COVID-19 | J Am Coll Cardiol | 2022 | | CORD-19 |
| 4155 | RECURRENT SUPINE REFLEX SYNCOPE CAUSED BY COUGH AND TRACHEAL ASPIRATION IN A CRITICALLY ILL COVID-19 PATIENT | J Am Coll Cardiol | 2022 | | CORD-19 |
| 4156 | VENTRICULAR ARRHYTHMIA AND SINUS PAUSE IN THE SETTING OF COVID-19 | J Am Coll Cardiol | 2022 | | CORD-19 |
| 4157 | Rural arts entrepreneurs' placemaking-how 'entrepreneurial placemaking' explains rural creative hub evolution during COVID-19 lockdown This article critically evaluates the development and impact of a new online ‘dance practice’ service in a rural creative hub Remote. The research asks: ‘How does entrepreneurial placemaking contribute to the evolution of rural creative hubs during the COVID-19 pandemic?’ To answer this question, the article critically evaluates the business activities of one artisan entrepreneur, applying placemaking and resilience. Using a case study strategy, this research employs online qualitative research. Creative hub development is explained as a result of ‘entrepreneurial placemaking’, forming the main contribution of this article. This term subsumes multi-layered exchanges. ‘Entrepreneurial placemaking’ is conceptualised as continuous becoming, and illustrated by Remote’s adaption processes to lockdown phases. Remote is turned into a stage for digital placemaking during the COVID-19 lockdown via the ‘open dance practice’ service provided by a performance dance artist. Findings highlight that to enact entrepreneurial placemaking, creative professionals need to draw upon adaptive capacity, which includes the ability to develop exchange relationships and business-related digital skills. Peer-learning is a recommended solution for developing such digital skills across artist entrepreneurial communities. This article contributes to the ongoing conversation on the role of creative hubs for socio-economic development foregrounding the activities of hub users. | Local Econ | 2021 | | CORD-19 |
| 4158 | Pandemic journey to prestige at nursing Respect, which is human virtue by its very nature, is a universal feeling and action. Prestige; it is expressed as being respected, valuable, and reliable. These intertwined concepts draw attention basically for nursing, in which interpersonal interactions stand out compared to other professions. Moreover, while continuing the services in a kind of mobilization environment during the pandemic process that we have been faced with since 11 March 2020 and will obviously be affected for a long time in our country, the most common sense and respectful perspectives and approaches are needed. Respectful actions and respectful practices which are also included in the scope of professional ethics are more strategically important as we experience such a mass and historical human experience in which each of us is responsible for each other's health. The reputation of nursing continues to be formed and differentiated with how this profession is perceived by members of the profession and society, influenced by various processes from past to present. In this article, the change/development of the reputation of the nursing profession during the COVID-19 pandemic period was discussed. | Clin Ethics | 2022 | | CORD-19 |
| 4159 | Designing participatory green area management and biodiversity conservation strategies in the era of population shrinkage: empirical analysis of multi-generational perceptions on Satoyama rare species in central Japan Underuse, instead of overuse, is a potential threat to biodiversity in semi-natural areas, particularly in East Asia. Due to serious depopulation and aging trends in East Asia, including Japan, few people are being involved in managing green areas and conserving biodiversity. Depending on specific events and age groups that contribute to the experience, knowledge, and preferences of citizens, green area management and biodiversity conservation activities can be effectively conducted through strong collaborations between various stakeholders and generations. We aimed to understand the differences in the perceptions of citizens, belonging to different generations in the metropolitan Nagoya City, towards the Satoyama areas in Japan through an online survey. The status of Satoyama areas is reflected by the rare species of endangered category II in the Act on Conservation of Endangered Species of Wild Fauna and Flora. Analyzing the perceptions revealed gaps in the experience, knowledge, and preference between different age groups for various management and conservation activities. In addition to the intergenerational gaps, gaps between different household income levels and the duration of the activities were identified. The results indicated that reflecting upon the diverse interests among citizens and addressing the causes of the differences is necessary by integrating the differences for consensus building among different stakeholders belonging to different age and socio-economic groups. | N/A | 2022 | | CORD-19 |
| 4160 | Information on the Annual Report of the Ukrainian Commission of Phase Diagrams and Thermodynamics (2021) The main tasks of the international scientific organization Alloy Phase Diagram International Commission (APDIC), which unites 18 member organizations involving 26 countries, are the exchange of information and coordination of the activities of the international scientific community, mainly in the field of phase diagrams and thermodynamics. The Ukrainian Phase Diagrams and Thermodynamics Commission has been a member of APDIC since 1994. The annual report of the Ukrainian Commission on the results of the activities of Ukrainian scientists in this field in 2020 was presented at the APDIC meeting on June 18, 2021, which was held online due to the coronavirus pandemic. This information is presented in a table, collecting data on the studied systems and obtained result and containing a list of references to published papers. Scientists from the Frantsevich Institute for Problems of Materials Science (National Academy of Sciences of Ukraine, Kyiv), Taras Shevchenko National University of Kyiv (Ministry of Education and Science of Ukraine, Kyiv), and Donbas State Engineering Academy (Ministry of Education and Science of Ukraine, Kramatorsk) provided relevant information to the Ukrainian Commission. | N/A | 2022 | | CORD-19 |
| 4161 | Understanding prescription behavior across healthcare professionals in treating knee osteoarthritis before and during the 2020 COVID-19 pandemic | Osteoarthritis Cartilage | 2021 | | CORD-19 |
| 4162 | 35P Lung cancer diagnosis and continuum of care: How did the COVID-19 outbreak impact? Data from an Italian multicenter study | J Thorac Oncol | 2021 | | CORD-19 |
| 4163 | 206P Impact of the COVID-19 pandemic in the diagnosis of lung cancer in Portugal | J Thorac Oncol | 2021 | | CORD-19 |
| 4164 | Human, Animal and Automata Attributions: an Investigation of the Multidimensionality of the Ontologization Process The ontologization process involves the use of social representation relating to the human–animal binary to classify ingroup and outgroup members. To date, no study has investigated the multidimensional nature (i.e. human, animal and automata) of the ontologizing process via structural equation modelling (SEM). Four hundred and twenty-one Italian participants were asked to attribute 24 positive/negative, human/animal/automata associates to each of three target groups: typical Roma/Chinese/Italian. Results showed that the proposed six-factor model (i.e. positive/negative, human/animal/automata essence) was statistically robust for each of the three groups. The Roma group was animalized by attributing more animal negative associates than any other target group, whereas the Chinese group was mainly given a robot positive essence. | N/A | 2022 | | CORD-19 |
| 4165 | DiGA unterstützen die moderne Versorgung | N/A | 2022 | | CORD-19 |
| 4166 | Schizophrenie behandeln-frische Impulse aus der Forschung | N/A | 2022 | | CORD-19 |
| 4167 | COVID-19-Mortalität bei psychischen Erkrankungen stark erhöht | N/A | 2022 | | CORD-19 |
| 4168 | SARS-CoV-2 and Fetal Inflammation | Nurs Womens Health | 2022 | | CORD-19 |
| 4169 | Planning for Seniors Housing in Changing Cities: Lessons Learned From a Cross-National Exchange Across North America, a growing number of older adults have a core housing need and lack access to affordable, suitable or adequate housing. Although federal, state/provincial and local backdrops vary across Canadian and American contexts, seniors’ housing providers in both countries face similar challenges and must develop innovative policy and program responses to help older adults age in place. We hosted an international seniors’ housing conference to create a platform for cross-national collaboration among multidisciplinary seniors housing experts. This event offered an opportunity to exchange best practices, emerging research, and policy solutions, and establish a set of shared priorities for advancing seniors housing that were applicable to two nations with different social systems. This paper will reflect on the exchange of knowledge and best practices related to housing preservation, eviction prevention, and access to supports during COVID-19, and the lessons learned fostering a cross-national collaborative network of seniors housing experts. | Innov Aging | 2021 | | CORD-19 |
| 4170 | Investigating of the role of CT scan for cancer patients during the first wave of COVID-19 pandemic | N/A | 2022 | | CORD-19 |
| 4171 | Engagement in Assisted Living During the COVID-19 Pandemic: Challenges and Promising Practices The “lockdown” in assisted living (AL) from the COVID-19 pandemic has physically isolated residents from the outside world and affected resident and family engagement in care. This presentation outlines a content analysis of qualitative semi-structured telephone interviews conducted from April 2020 with 105 AL staff, residents, and family members exploring COVID-19 experience/restrictions and engagement during the pandemic. Analysis revealed AL families and residents expressed difficulties with COVID-19 visiting and distancing restrictions, reduced family visitations, discontinuity of care, and worries about COVID-19 infection. Staff/administrators expressed uncertainty about lack of knowledge about COVID-19, worries about transmission, and if staff will get exposed outside of work. Promising factors include enhanced communication between staff and families regarding care, improved virtual communication, creative strategies to socially engage residents, and improved infection control practices and staff training. The presentation discusses the implications of the findings for future research, policy, and practice. | Innov Aging | 2021 | | CORD-19 |
| 4172 | Fraudulent Data Detection and Prevention Within the National Caregiver Survey The National Caregiver Survey is an online, incentivized survey that aims to gather information about the health and coping strategies used by Black family caregivers of persons with dementia. The survey data will help elucidate the relationships between coping, health, and adaptation to family caregiving and facilitate the development of culturally responsive caregiver support programming. Virtually distributing this survey made it cost-effective, easily accessible, and quick to produce usable data. The online format also helped the team reach caregivers from across the nation, as well as keep participants safe during the COVID-19 pandemic. Unfortunately, because online surveys are advertised and administered digitally, they become targets for hacking, especially when the surveys are incentivized. The hacking attempts are executed through digital survey bots and threaten the integrity of the collected data. These corrupt responses also increase study costs by falsely rewarding the hackers for their survey responses and research team time in the investigation, detection, and removal of fraudulent responses. To detect potential bots, a reCAPTCHA bot system was incorporated into the survey, and survey questions were formatted specifically to thwart hacking attempts. Finally, data were cleaned to remove illogical, inconsistent, and duplicative surveys. Findings from this work may help researchers improve online survey design and data collection methods to provide greater confidence in conclusions drawn from virtually surveyed data. | Innov Aging | 2021 | | CORD-19 |
| 4173 | TBD Chair: Lori Simon-Rusinowitz;Panelists: Representatives of GSA Sections - Phillip Rozario (SRPP), Stephen Helfand (BS), Tamara Baker (BSS), Cynthia Brown (HS), Judith Howe (AGHE), Darina Petrovsky (ESPO); Discussant: Brian Lindberg. This interactive session is an interdisciplinary look at policy issues in aging with the speakers representing views from their sections. This session, organized by the GSA Public Policy Panel, will provide both GSA section leadership and attendees an opportunity to have an open dialogue on important public policy issues of significance in the field of aging. Presentations will likely address the COVID-19 pandemic, how GSA, each section and its members, and the federal government responded during the past year; how the policy work has been influenced by the increased acknowledgement of institutional and societal racism; and member experiences with the influx of additional economic relief, research funding, and funding for aging supports and services programs. | Innov Aging | 2021 | | CORD-19 |
| 4174 | The Impacts of the COVID-19 Pandemic on Family Caregivers' Care Work, Anxiety and Loneliness Our study examined the effects of COVID-19 pandemic and public health measures on family caregivers (FCGs) of frail older adults; specifically, their care work, anxiety, and loneliness all of which are associated with decreased wellbeing. Approximately 604 FCGs completed the survey and findings evidenced COVID-19 creating two solitudes. First, 73% of FCGs for individuals living with them were providing significantly more care during COVID-19. Second, those caring for residents in congregate settings were unable to care. Both situations, community-dwelling and congregate care, increased FCG distress and decreased wellbeing. Anxiety significantly increased from 36% pre COVID-19 to 54% during COVID-19. Loneliness increased from 46% to 85%. FCGs report their mental (58%) and physical (48%) health deteriorated. The detrimental impact of the pandemic and public health measures on FCGs caring at home and in congregate care, and their related needs, need immediate attention from both the health and social systems of care. | Innov Aging | 2021 | | CORD-19 |
| 4175 | Online Training That Changes Family Caregiver Behavior and Attitudes The Family Caregiver Course (FCC) is an 18-week Validation training to sensitize family carers to the psycho-social needs of their relatives, integrate new behaviors that build relationships and specific verbal and non-verbal techniques to increase communication. Validation Training Institute partnered with the Alzheimer’s Association of Colorado in 2019 and 2020 in delivering this course. Due to COVID-19 limitations, the 2020 iteration was completely digital, using principles of online learning. To replace the two-day in-person component of this course, we developed four, 4-hour Zoom sessions that allowed participants to: practice specific Validation techniques, exercise, process and apply what was learned, role play and receive coaching to anchor skills. Important online rules were maintained, such as, offer opportunities for participant engagement every 10 minutes and create a community of inquiry. Pre- and Post-Surveys of the 2019 and 2020 iterations of FCC showed that after taking this course, family carers: reported that they knew what to do when faced with challenging behaviors from their relative; understood that lying or pretending to agree with a disoriented person was not an effective strategy for communication; gained knowledge of the different forms of dementia and that the differences are significant; were clear about the differences between Validation and other methods. | Innov Aging | 2021 | | CORD-19 |
| 4176 | Telehealth and Thirty-day Readmissions Among Heart Failure Patients During the COVID-19 Pandemic This study examined whether outpatient follow-up within 14 days of discharge via telehealth visits are as effective as in-person visits for reducing 30-day readmission in heart failure (HF) patients. Using electronic health records from a large health system, we included HF patients (n=1,722) who were hospitalized during the period of March 15-July 15, 2020. Overall, 28.1% of patients received an early outpatient follow-up visit. Patients who received telehealth visits (n=119) were more likely to be older and live in areas with higher median household incomes than those with in-person visits (n=365). Thirty-day readmission rates were 20.5% during the COVID-19 period. Multivariate models showed that patients who received a telehealth (OR=0.36, 95%CI [0.23-0.56]) or an in-person (OR=0.42, 95%CI [0.31-0.57]) visit were less likely to be readmitted within 30 days compared with patients without an early outpatient follow-up. Telehealth visits were just as effective as in-person visits at reducing 30-day readmissions. | Innov Aging | 2021 | | CORD-19 |
| 4177 | Well-Being During the COVID-19 Pandemic: The Roles of Age, Race and Gender In the early months of COVID-19, behavioral modifications (i.e., social distancing) were the only means available to ameliorate contagion. These had widespread ramifications for well-being, although older adults showed relatively less disruption and high resilience than their younger counterparts (Carney et al., 2021). Early findings highlight the need for a life course perspective when examining reactions to COVID-19, based on social structure, personal agency, and individual differences such as age, gender, and personality (Settersten et al., 2020). The presentations in this symposium contribute to a developing body of research that delves deeper into individual lived experiences during COVID-19. Using data from the Health and Retirement Study, Ryan examines cohort and age differences in pandemic-related social contact, communication, loneliness, and well-being for women in the US, revealing that the impact of pandemic-attributed psychosocial experiences on well-being differed by age group. Newton et al. examine associations between perceptions of future time, COVID-19 disruption, and psychological well-being among older Canadian women, finding that COVID-19 disruption moderated the relationship between constrained time horizons and well-being. Birditt and colleagues assessed racial disparities in relationships between COVID-related stress, social isolation, and depression among adults aged 18-97 from the Survey of Consumers, and found ethnic/racial minorities reported greater pandemic-related stress and that stress and social isolation had detrimental effects on well-being. A discussion by Lodi-Smith will emphasize the necessity to include individual differences – age, race, gender, cohort, cultural context –when examining pandemic-related well-being in order to provide a more nuanced body of research. | Innov Aging | 2021 | | CORD-19 |
| 4178 | TBD Chair: Lori Simon-Rusinowitz;Panelists: Representatives of GSA Sections - Phillip Rozario (SRPP), Stephen Helfand (BS), Tamara Baker (BSS), Cynthia Brown (HS), Judith Howe (AGHE), Darina Petrovsky (ESPO); Discussant: Brian Lindberg. This interactive session is an interdisciplinary look at policy issues in aging with the speakers representing views from their sections. This session, organized by the GSA Public Policy Panel, will provide both GSA section leadership and attendees an opportunity to have an open dialogue on important public policy issues of significance in the field of aging. Presentations will likely address the COVID-19 pandemic, how GSA, each section and its members, and the federal government responded during the past year; how the policy work has been influenced by the increased acknowledgement of institutional and societal racism; and member experiences with the influx of additional economic relief, research funding, and funding for aging supports and services programs. | Innov Aging | 2021 | | CORD-19 |
| 4179 | The Influence of MOQI APRNs on the COVID-19 Response in Nursing Homes During the COVID-19 pandemic Missouri Quality Initiative APRNs worked in 16 nursing homes (NHs) providing clinical expertise and support. To understand their influence on the NH COVID-19 response, we conducted four group interviews with APRNs from 13 of the 16 NHs. Using thematic analysis, we identified similarities and differences between NH groups and then compared groups by COVID-19 infection rates. Leaders from NHs with high COVID-19 rates were unwilling to report infections and were resistant to resident/staff testing. In contrast, leaders from NHs with low COVID-19 rates were strategic about acquiring supplies, held daily huddles, and initiated CDC recommendations almost immediately. All reported residents lost weight, and experienced mood and physical decline resulting from quarantine/isolation. APRNs worked with providers to identify potentially ill residents/staff, improve isolation/quarantine procedures, manage ill residents, and supported efforts to mitigate viral spread. We will discuss implications for broader infection prevention in NHs. | Innov Aging | 2021 | | CORD-19 |
| 4180 | Subjective Age Changes During the COVID-19 Pandemic Aging is associated with an increased risk of COVID-19 morbidity and mortality. In this study, we tested whether the pandemic influenced how old individuals felt by examining longitudinal within-person changes in subjective age. We tested two alternative hypotheses: (a) people felt increasingly older in response to the stress generated by COVID-19; (b) people felt increasingly younger due to psychological distancing from older age. We tested these hypotheses in a large US sample of adults assessed once before and twice during the COVID-19 pandemic. Multilevel analyses indicated that people reported feeling younger with the emergence of COVID-19. We further tested demographic, health, and psychosocial predictors of changes in subjective age. Overall, the findings supported the hypothesis that subjective age partly reflects a coping process of psychological distancing from older age, a process that parallels physical and social distancing. | Innov Aging | 2021 | | CORD-19 |
| 4181 | Pivoting during the pandemic: A case study of the Senior Companion Program Plus Introduction: Growing research supports the use of older volunteers to provide respite and community-based assistance to persons with ADRD and their caregivers. This study explores the impact of COVID-19 on a face-to-face, peer-led psychoeducational intervention for African American ADRD family caregivers, the Senior Companion Program Plus (SCP-Plus), and its subsequent need to ‘pivot’ during the pandemic. Method: The SCP-Plus was a randomized control trial across three states that assessed program impact on ADRD family caregiver stress/burden, coping, and social support. In spring 2020, the SCP-Plus intervention was halted because of the potential risk to participants due to COVID-19 (n = 20 enrolled dyads). In an effort to maintain rapport and trust, critical to retention in research studies, team members began weekly (March-April) and then bi-weekly calls (May-December) for the purpose of providing a social check-in and to provide updates on the status of the intervention. Results: A total of 396 calls lasting approximately 10 minutes each were completed. Participants shared concerns around safety, access to food/supplies/masks/testing, feelings of stress and loss, concern for others, and the importance of technology as a means of social connection. Although the intervention aspect of the SCP-Plus ultimately ended due to COVID-19, information gleaned from these check-ins were used to pivot the study. The study moved forward by using a descriptive phenomenological approach to capture dyads’ lived experiences during COVID-19. Discussion: Overall, purposeful participant engagement through weekly/bi-weekly phone calls suggests that this is a promising strategy for participant retention as well as for pivoting research. | Innov Aging | 2021 | | CORD-19 |
| 4182 | A Stakeholder-Based Study Improving Resident and Family Engagement in the Safety of Assisted Living Assisted living (AL), is a long-term care service that provides housing and care for over 800,000 older adults in 30,000 residences. AL culture and operations have been transforming to enhance resident personhood and increase autonomy, however, these practices are balanced with the need to minimize safety issues (e.g., medication errors, infections, falls, and in cases of dementia, elopement and injuries). In this stakeholder-based study, we are translating existing strategies for improving patient safety to AL residences and developing an evidence-based tool for implementing these engagement strategies in AL. This symposium presents the methods and findings from a federally-funded mixed methods study including qualitative interviews with 105 AL residents, staff and family caregivers, and a series of focus groups with an AL stakeholder group to develop a toolkit to improve resident and family engagement in AL safety. The first paper outlines our methodological approach, including our efforts to work with stakeholders throughout the research process. The second paper reports findings from a scoping review of existing tools to support resident and family engagement in the safety of AL. The third paper presents the findings from our interviews with AL residents, families and staff exploring their safety priorities, and how they differ across stakeholder groups. The fourth paper presents the findings from our qualitative interviews exploring the challenges and promising practice to resident and family engagement in AL safety during the COVID-19 pandemic. All four presentations in this symposium illustrate important issues for future practice, policy, and research. | Innov Aging | 2021 | | CORD-19 |
| 4183 | East Meets West: Community-Based Programs for Dementia Prevention and Support This East Meets West Symposium presents cross-cultural evidence of community-based programs developed to address cognitive health needs of older adults or to support dementia family caregivers. It includes five studies from mainland China, Taiwan, and the U.S.A. The first study explored the adherence to computerized cognitive training to promote cognitive health among Chinese older adults using a qualitative approach. External encouragement, and self-awareness of performance improvement were found influential to older adults’ adherence. The second study spearheaded by American Association of Retired Persons (AARP) in the U.S.A shed further light on technology use in promoting brain health by comparing in-person versus online cognitive training to older Americans during the COVID-19 pandemic. The third study tested the effectiveness of a cognitive health management model for community-dwelling older adults including healthy and mild cognitively impaired (MCI) ones in Shanghai, China. Older adults with MCI who received the management service showed better cognition outcomes compared to their counterparts in the control group. The fourth study focused on a community program named “Carer Café”, developed to support dementia family caregiver in Taiwan. Participants (n=375) reported reduced stress and increased access to service referrals. The last study examined the stakeholders’ perceptions of dementia friendly initiatives (DFI) being implemented in U.S.A, mainland China, and Taiwan to support persons with dementia and family caregivers. The impacts of DFI made, challenges DFI faced, and strategies DFI used during COVID-19 pandemic were discussed. The discussant will comment on each article’s contributions and limitations in the context of literature. | Innov Aging | 2021 | | CORD-19 |
| 4184 | The Evolving Role of Area Agencies on Aging Through the COVID-19 Pandemic and Beyond Area Agencies on Aging (AAAs) have played an important and well-documented role in meeting the nutritional and wellness needs of older adults during COVID-19. To better understand the continued impact of COVID-19 pandemic on AAA services, partnerships, and clients, the National Association of Area Agencies on Aging surveyed the nation’s 618 AAAs in February 2021, with a 27% response rate. As a result of COVID-19, most AAAs reported both increased numbers of new clients and needs of existing clients; three-quarters of AAAs developed new external partnerships; and over half are implementing strategies to address equity and inclusion regarding their services and clients. Nearly 80% of AAAs are involved with COVID-19 vaccine outreach and delivery, from scheduling appointments to administering the vaccine to homebound clients. We will describe these and other transformations of services, partnerships, and client needs; discuss challenges and opportunities; and provide examples and video vignettes from AAA directors. | Innov Aging | 2021 | | CORD-19 |
| 4185 | The Academy of Gerontology in Higher Education Perspective Chair: Lori Simon-Rusinowitz;Panelists: Representatives of GSA Sections - Phillip Rozario (SRPP), Stephen Helfand (BS), Tamara Baker (BSS), Cynthia Brown (HS), Judith Howe (AGHE), Darina Petrovsky (ESPO); Discussant: Brian Lindberg. This interactive session is an interdisciplinary look at policy issues in aging with the speakers representing views from their sections. This session, organized by the GSA Public Policy Panel, will provide both GSA section leadership and attendees an opportunity to have an open dialogue on important public policy issues of significance in the field of aging. Presentations will likely address the COVID-19 pandemic, how GSA, each section and its members, and the federal government responded during the past year; how the policy work has been influenced by the increased acknowledgement of institutional and societal racism; and member experiences with the influx of additional economic relief, research funding, and funding for aging supports and services programs. | Innov Aging | 2021 | | CORD-19 |
| 4186 | Impact of Media-Based Age Stereotypes on Older Individuals' Mental Health During the COVID-19 Pandemic During the COVID-19 pandemic, stigmatization of older persons has increased in traditional and social media. It was unknown whether this negative messaging could be detrimental to the mental health of older individuals, and whether the relatively uncommon positive messaging about older individuals could benefit their mental health. To address these gaps, we designed age-stereotype interventions based on actual news stories that appeared during the pandemic. As expected, the exposure of older individuals to the negative-age-stereotype-messaging interventions led to significantly worse mental health (more anxiety and less peacefulness), compared to a neutral condition; in contrast, the positive-age-stereotype-messaging interventions led to significantly better mental health (less anxiety and more peacefulness), compared to a neutral condition. The results demonstrate the need for media messaging aimed at empowering older individuals during the pandemic and beyond. | Innov Aging | 2021 | | CORD-19 |
| 4187 | Ushering in the Silver Age of Telehealth: Addressing Telehealth Disparities for Older Adults With Disabilities One silver lining of COVID-19 has been the ushering in of ‘the golden age of telehealth’. However, this unplanned rapid conversion to telehealth left many providers and clinics unprepared to address systemic barriers that adversely affect older adults, particularly those with disabilities. Data from the VA Corporate Data Warehouse suggest that the rapid adoption of telehealth in mental health clinics during COVID-19 widened telehealth utilization disparities for older Veterans (65+) with disabilities. With 4.5 million Veterans 55+ who have at least one disability more attention to addressing this widening gap is needed. For those with hearing, vision, and complex mobility impairments, there are unique challenges to initiating telehealth services. Dr. Touchett will present preliminary findings while discussing ethical and contextual considerations when using telehealth with older Veterans who have disabilities, while discussing ways to facilitate robust clinical encounters for this population. | Innov Aging | 2021 | | CORD-19 |
| 4188 | Delivery of Home and Community Based Services During a Pandemic: Unexpected Consequences The COVID-19 pandemic required AAAs to pause essential services, serving as a catalyst for innovation. We examined such innovations as part of an explanatory mixed-methods, positive deviance study of AAA partnerships with health and social service organizations. We identified 8 AAAs with many partners serving areas with lower levels of health care use, and 3 AAAs with few partners serving areas with higher levels of health care use. We interviewed AAA and partners, (total = 123). Using the constant comparative method, we identified recurrent themes: 1) AAAs adapted to increased demand for services by developing new ways to deliver services, 2) the pandemic raised awareness of unmet needs such as social connection, 3) changes in delivery of services included embracing technology, and 4) AAAs and their partners identified resources to rapidly pivot services. AAAs and partners demonstrated resiliency to not only to sustain programs, but to innovate throughout the pandemic. | Innov Aging | 2021 | | CORD-19 |
| 4189 | Dissemination of a COVID-19 Rapid Response Telehealth Group Addressing Worry and Social Isolation Among Older Adults In response to the urgent need for virtual mental health treatments during the COVID-19 pandemic, an 8-week group intervention deliverable over video or telephone was developed and disseminated in March 2020. Manual content addressed social isolation and information related to COVID-19. In August 2020, a national web-based provider feedback survey was disseminated to evaluate feasibility of the manual. Respondents (n = 21) across a variety of geriatric mental health clinics reported this intervention to be effective and clinically useful with their patients in providing social support and in mitigating COVID-19 anxieties. The majority of respondents delivered the group in multiple cohorts and found the manual adaptable beyond the early pandemic period. | Innov Aging | 2021 | | CORD-19 |
| 4190 | TBD Chair: Lori Simon-Rusinowitz;Panelists: Representatives of GSA Sections - Phillip Rozario (SRPP), Stephen Helfand (BS), Tamara Baker (BSS), Cynthia Brown (HS), Judith Howe (AGHE), Darina Petrovsky (ESPO); Discussant: Brian Lindberg. This interactive session is an interdisciplinary look at policy issues in aging with the speakers representing views from their sections. This session, organized by the GSA Public Policy Panel, will provide both GSA section leadership and attendees an opportunity to have an open dialogue on important public policy issues of significance in the field of aging. Presentations will likely address the COVID-19 pandemic, how GSA, each section and its members, and the federal government responded during the past year; how the policy work has been influenced by the increased acknowledgement of institutional and societal racism; and member experiences with the influx of additional economic relief, research funding, and funding for aging supports and services programs. | Innov Aging | 2021 | | CORD-19 |
| 4191 | Family Caregiving for Persons With Emotional, Developmental and Behavioral Disorders During COVID-19 COVID-19 has the potential to exacerbate stresses of family caregiving. While studies during COVID-19 have focused on caregivers of those with memory / cognitive issues like Alzheimer’s Disease, less attention has been paid to those caring for persons with emotional / developmental / behavioral disorders. This paper compares family caregivers of persons with emotional / developmental / behavioral disorders (EDB); physical conditions (PH); and memory / cognitive problems (MC) during the early phase of the pandemic. We focus on demographics, caregiving context, COVID-related caregiver stressors, and validated physical, psychosocial, and financial well-being outcomes. We conducted a cross-sectional national online survey during April-May, 2020 (n = 556). The sample included 274 PH (50%), 141 MC (25%), and 141 EDB (25%) caregivers. EDB caregivers were younger, with younger care recipients who were more likely to be their child. EDB caregivers reported more COVID-related caregiver stressors than MC or PH caregivers, including increased caregiving duties (p<.01); more family disagreements about care provision (p=.05); and worsened mental health of the care recipient (p<.01). In multivariate regression models, EDB caregivers had significantly higher anxiety; depression; and fatigue (all p<.01); more sleep disturbance (p=.05); less social participation (p<.05); and poorer overall financial well-being (p<.05). MC caregivers also reported more negative outcomes, but effects were consistently strongest for EDB caregivers. This study shows that EDB caregivers are at significantly elevated risk for negative impacts due to COVID-19 and should receive increased support and attention during this public health crisis. | Innov Aging | 2021 | | CORD-19 |
| 4192 | Systemic risk and the financial network system: an experimental investigation This paper investigates the economic agent behavior when managing a bank in order to avoid a failure when exposed with the financial systemic risk using a lab experiment. We use Chen et al.’s (Oper Res 64:1089–1108, 2016) model to construct the decision problem in the experiment. The model assumes that the systemic risk occurs through two channels: the liquidity channel and the network channel. The former occurs from the external investment shock which is endogenous in the balance sheet. The latter is a function of other banks’ clearing repayment; which is also caused by the external investment shock. Given these, there are two intuitive optimal strategies in order to avoid a failure: imposing a higher external investment interest than that of its risk and avoiding the financial interactions with the high-risky banks. We use students and bankers as our subjects to check the validity of Chen et al.’s optimal strategy given their respective background. Our results show that both students and bankers partially follow Chen et al.’s intuitive optimal strategy: the first strategy. Only the student group is found to follow the second optimal intuitive strategy of Chen et al. In addition, both subject groups have a different behavior in order to avoid the failure. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s40822-022-00207-7. | N/A | 2022 | | CORD-19 |
| 4193 | A Robust Bi-objective Optimization Model for Resource Levelling Project Scheduling Problem with Discounted Cash Flows Due to limited financial resources and high costs of infrastructure projects, project stakeholders seek to gain maximum profits with optimal resource utilization as well as cost and time minimization. Therefore, this study presents a multi-mode resource-constrained project scheduling model considering the uncertain parameters of cost and time together with the goals of maximizing the net present value and minimizing resource usage fluctuation. Also, the assumptions related to the real-world projects regarding multi-mode activities, limitation of renewable resources, and the deadline of project are incorporated into the proposed model. Moreover, a robust scheduling method is presented to better deal with the inherent uncertainties of projects regarding cost and time. The model is solved with the exact method named lexicographic goal programming (LGP). Due to the NP-hardness of the problem, two metaheuristic algorithms named Non-dominated Sorting Genetic Algorithm (NSGA-II) and Multi-Objective Particle Swarm Optimization (MOPSO) are applied to solve various medium and large size problems. The obtained results indicate the high efficiency of the two metaheuristic algorithms in solving the problem and the better performance of the MOPSO algorithm compared with NSGA-II in terms of five indices. Furthermore, the model is implemented in an offshore equipment installation phase of a wellhead platform project. Finally, the sensitivity analysis of the proposed robust model is performed considering different conservation levels, and the results are evaluated by Monte Carlo simulation with three normal, uniform and triangular distributions. The findings demonstrate that the robustness of the model against the variations of uncertain parameters. | N/A | 2022 | | CORD-19 |
| 4194 | All Roads Lead to Beijing: Systemism, Power Transition Theory and the Belt and Road Initiative Since its launch in 2013, the Belt and Road Initiative (BRI) quickly has become the cornerstone of foreign policy for the People’s Republic of China (PRC) under Xi Jinping’s leadership to project China’s new-found economic influence through networks of infrastructure, trade, and investment deals. Considerable scholarship about the BRI has focused on China’s motivations, domestic politics, strategic culture, policy instruments, and the perceptions, effects, and implications across various countries and regions. While competing IR paradigms and levels of analysis have been applied to analyze the BRI and its impact, little research has examined the complex causal mechanisms of the BRI in a comprehensively visualized and rigorous way. How, for example, does the BRI look in the context of power transition theory? Is this time-honored theory, which focuses on the dynamics of capabilities, able to explain the characteristics of BRI, notably its impact upon policies and outcomes at the regional and international levels? Through the prism of systemism, this paper seeks to answer such questions. The systemist approach, which emphasizes the graphic portrayal of cause and effect, is well suited to the task of comparing and evaluating theoretical arguments about developments such as the BRI. A visualization of power transition theory is used to obtain insights about the likely direction of China’s BRI in terms of the USA and China as leading states and rivals faced with the challenge of managing conflict short of war in East Asia. | N/A | 2022 | | CORD-19 |
| 4195 | Operation verschoben-Aufklärung wiederholen?: Coronapandemie zwingt zum Umdenken | N/A | 2022 | | CORD-19 |
| 4196 | Older Adults' Worry about COVID-19: Associations with Experiences of COVID-19 Among Social Connections The COVID-19 pandemic has challenged the physical and mental health of older adults, yet it is unknown how much older adults worry about their own exposure. As older adults are at increased risk for severe complications from COVID-19, understanding patterns of worry may inform public health guidelines and interventions for this age group. We investigated older adults’ worry about COVID-19 in the early months of the pandemic and associations with familial/friend’s diagnosis or disease symptoms. Data comes from the baseline (April/May 2020), one-month, and two-month follow-up surveys from the COVID-19 Coping Study, a national longitudinal cohort study of US adults aged ≥55. We used linear regression models to investigate the association between self-reported familial/friend diagnosis or symptoms with pandemic worry, accounting for demographic factors and individual diagnosis or experience of COVID-19 symptoms. Participants (Baseline=4379, 1 month= 2553, 2 month=2682) were 67 years old on average, 72% were female, 5.7% were non-White, and 80.5% had a college degree. At baseline, 26.6% of participants had friends or family who had been diagnosed or experienced symptoms of COVID-19. Having friends or family diagnosed or with symptoms of COVID-19 (B=0.08, SE=0.04, p<.05), being female (B=0.42, SE=0.03, p<.001), and having higher educational attainment (B=0.06, SE=0.02, p<.001) were significantly associated with greater worry about COVID-19. These associations were consistent over 3 months. Understanding if worry about the pandemic correlates with following public health guidelines is a key next step so intervention strategies can prioritize older adults and their social networks. | Innov Aging | 2021 | | CORD-19 |
| 4197 | Who Provides Care in a Crisis? Family Caregivers' Experiences of Home Care During the COVID-19 Pandemic Many homebound individuals with dementia rely on both paid caregivers (e.g., home health aides, home attendants, other homecare workers) and family caregivers to live safely at home. We conducted semi-structured interviews with 15 family caregivers of individuals with severe dementia receiving home-based primary care in NYC to explore how caregiving changed during the COVID pandemic. Most individuals with long-standing paid caregivers experienced infrequent home care disruptions. In fact, paid caregivers were often the primary and sometimes only individuals to provide direct care; family caregivers themselves often stayed away and managed care from a distance. While most family caregivers described heightened attention to infection control, guidance about COVID prevention and safety rarely came from home-based primary care providers or home care agencies and instead was considered “common sense.” These findings confirm the essential role paid caregivers play in home-based dementia care teams. | Innov Aging | 2021 | | CORD-19 |
| 4198 | COVID-19 Nursing Home Deaths in Cook County: Predictors and Modifiable Risks Investigators at the University of Illinois Chicago, the Illinois Department on Aging (IDOA), the Illinois Department of Public Health, and the Health and Medicine Policy Research Group are collaborating to examine comparative rates of Covid-19-related deaths among older adults who reside in nursing homes vs. the community in Illinois. As a first step, we have examined data from the Cook County Medical Examiner’s office to compare nursing home resident fatalities to those who died in the community. Deaths with Covid-19 listed as primary or secondary cause of death that occurred between January 1, 2020 to September 30, 2020 among older adults ages 60 and over were identified from the Cook County Medical Examiner’s Office case archive file. Location at death and race/ethnicity were obtained from the same source. Location at death was matched with data in the Center for Medicare and Medicaid Services (CMS) Covid-19 Nursing Home Data to identify persons who died in skilled nursing facilities (SNFs) as well as facility and staff characteristics. We found that the 3,937 deaths among persons over the age of 60 comprised 75% of total deaths in Cook County. Of the total older adult deaths, 2,090 (53%) died in the community and 1,837 (47%) died in SNFs. Regression analyses that controlled for CMS quality ratings found that larger, for-profit nursing homes, with high levels of staff infected with Covid-19 were associated with higher mortality. The policy implications of these findings will be discussed. | Innov Aging | 2021 | | CORD-19 |
| 4199 | The Occupational Narratives of Older Adults Participating in Music-Based Occupations The purpose of this study was to implement an occupational therapy intervention that could be used for telehealth services with an emphasis on participants learning ways to independently choose and sustain engagement in meaningful music activities, known as occupations. The researchers’ aim was to examine how music occupation interventions lower risks of occupational deprivation (i.e., prolonged restriction from participation in necessary or meaningful activities) that could occur due to the COVID-19 pandemic. Eight adults participated who were 65 years or older, lived in the community, and enjoyed music. The researchers used narrative qualitative methodology to analyze pre- and post-intervention focus group data. The participants completed seven intervention sessions designed to increase and sustain music engagement outside of the sessions. The pre-intervention focus group data resulted in an occupational pattern analysis and a single occupational narrative. Triangulation of data post-intervention included the two focus groups and their pattern analyses and narratives, field notes from each intervention session, and documents produced through group completion. The final analysis produced an occupational change pattern analysis and narrative. The focus of the change narrative was on the participant’s management or prevention of occupational deprivation. The researchers identified several common themes involving change in routines and habits to include regular engagement in meaningful music activities, skills for using occupational participation as an important method of coping with COVID-19, and developing new technological skills to access music to replace in-person participation of attending live concerts and shows when deemed unsafe because of potential for virus transmission. | Innov Aging | 2021 | | CORD-19 |
| 4200 | Disparities in COVID-19 Mortality in High-Minority Nursing Homes Racial/ethnic disparities in healthcare have been highlighted by the recent COVID-19 pandemic. Minorities continue to utilize nursing home services at a higher rate than White residents, contributing to existing health inequity concerns. This study examined the relationship between nursing home racial/ethnic mix and COVID-19 resident mortality using the CMS Nursing Home COVID-19 Public File. As of October 25, 2020, high minority nursing homes reported 6.5 COVID-19 deaths as compared to 2.6 deaths for nursing homes that had no racial/ethnic minorities. Four nested sequential negative binomial regressions were used to model the relationship between racial/ethnic disparities in COVID-19 deaths and the separate contributions of facility-level resident characteristics (percent of females, percent of residents 65 years and older, percent of residents with congestive heart failure, hypertension, and obesity, and the average level of residents’ acuity), resource availability (nursing homes’ payer-mix, occupancy rate, county-level Social Deprivation Index, and nursing home location), and other organizational characteristics (nursing home for-profit status, chain affiliation, and self-reported nursing, clinical, aides, and other staff shortages). After controlling for interstate differences, facility-level resident characteristics, resource availability, and organizational characteristics, high-minority nursing homes had 61% more COVID-19 deaths (Incidence Rate Ratio [IRR] = 1.61; p < 0.001) as compared to nursing facilities with no minorities. From a policy perspective, nursing homes, that serve primarily minority populations, may need additional resources, such as, funding for staffing and equipment in the face of the pandemic. The COVID-19 pandemic has sharpened the focus on healthcare disparities and societal inequalities in the long-term care. | Innov Aging | 2021 | | CORD-19 |
