This version of BIP! Finder aims to ease the exploration of COVID-19-related literature by enabling ranking articles based on various impact metrics.
Last Update: 18 - 01 - 2023 (628506 entries)
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| Title | Venue | Year | Impact | Source | |
|---|---|---|---|---|---|
| 4201 | Exploring the Impact of COVID-19 on Family Caregivers of Persons Living With Dementia in the Community COVID-19 public health measures have significantly impacted persons living with dementia (PLWD) and family caregivers (FCGs). Given the restrictions on in-person services, many PLWD were not able to access their usual supports and activities, resulting in FCGs stepping in to support exercise, leisure, socialization, spirituality, and activities of daily living. At the same time, FCGs’ own support networks were significantly reduced or no longer available. We conducted in-depth qualitative interviews with 20 FCGs of PLWD in the community to explore the impact of COVID-19 on their well-being. Data were analyzed using thematic analysis. Caregiving during COVID-19 was described as ‘draining’ and ‘stressful’, with the support needs of PLWD increasing at a time when fewer supports were available. Reaching out to others, using technology, and setting boundaries were strategies FCGs used to cope. Despite the considerable impacts of COVID-19, FCGs of PLWD demonstrated their resilience in supporting themselves and their PLWD. | Innov Aging | 2021 | CORD-19 | |
| 4202 | Experiential Service Learning: Promoting Competency-based Education for Gerontology Students Service-learning is an effective pedagogical approach meant to deepen learners understanding of course content by linking scholarship and social action when structurally organized based on attainment of professional core competencies. The recent COVID-19 pandemic caused a rethinking of the way service learning practicum is delivered, especially as it relates to training health professionals who engage collaboratively with older persons (individuals aged 65 years and older). This poster examines the challenges faced by gerontology students as they transitioned to fully virtual learning and practicum format, the lessons learned, and how to close the gap between theory and practice for better programmatic processes. The data used to gather students experiences include; student reflective journals, class discussions and survey questions to students (n=44). The analytic framework utilized is the Social Cognitive Theory, (SCT)- which explains how individuals can master concepts through verbal and physical persuasion, including peer modelling. The goal is to promote leaners self- regulatory skills to achieve the course learning objectives, as obtained from the SCT six strategies for setting achievable goals, through: Feedback, self-instruction, self-monitoring, use of support and goal setting. Some of the lessons learned suggest students benefit more from service learning when they receive continuous feedback about how to develop intergenerational relationships with older adult partners assigned to in the community (68%), than from goal setting strategies (24%). The implication for practice is: there is a need to develop structured service-learning guidelines for undergraduate students in gerontology program to be prepared to better serve older adults. | Innov Aging | 2021 | CORD-19 | |
| 4203 | COVID Challenges and Adaptations Among Home-Based Medical Practices: Lessons for an Ongoing Pandemic Home-based primary care (HBPC) practices rapidly adapted to maintain care during the COVID-19 pandemic. This mixed-methods national online survey of HBPC practices probed responses to COVID-19 surges, COVID-19 testing, the use of telemedicine, practice challenges due to COVID-19, and adaptations to address these challenges. Seventy-nine practices across 29 states were included in the analyses. Eighty-five percent of practices continued to provide in-person care and nearly half cared for COVID-19 patients. Most practices also pivoted to concurrent use of video visits. The top five practice challenges were: patient familiarity with telemedicine, patient and clinician anxiety, technical difficulties reaching patients, and supply shortages. Practices also described creative strategies to physically support the needs of patients. These findings illustrate the need to balance in-person and virtual care for this population, and attend to the emotional needs of patients and staff. | Innov Aging | 2021 | CORD-19 | |
| 4204 | Presidential Symposium: Stories of Struggle and Resilience: Expert Interdisciplinary Reflections of the Past Year Are you an ESPO member curious about what the “new normal” means for your future career in the field of aging? Or are you a GSA member interested in hearing from your colleagues about their experiences over the past year? Welcome to the ESPO Presidential Symposium! During this session, speakers will share honest and candid insights about their careers in the field of aging amidst the pandemic, racial discrimination/social unrest, and economic insecurity. Speakers in the ESPO Presidential symposium include: Dr. Thomas K.M Cudjoe, Dr. Candace S. Brown, and Dr. Marnin J. Heisel. Dr. Cudjoe, a physician, will discuss his clinical experience treating older adults with COVID-19, the shift to tele-health, and his research on the impact of social isolation on older adults. Dr. Brown, an academician, will discuss how the new attention to the longstanding issues of social injustice in the U.S. shaped her teaching pedagogy, research, student mentorship, and provide critical context regarding the impact of COVID-19 on Black and Indigenous People of Color (BIPOC) professors. Dr. Heisel, a clinical psychologist, will share how his intervention research on resiliency and well-being in older adulthood shifted amidst the “new normal,” as well as how older adults in his clinical practice encountered and coped with difficulties over this past year. As our society confronts social injustice, tackles health implications of COVID-19, and adjusts to a new way of life, we must consider how these factors, together, inform the interdisciplinary stories of struggle and resilience in the field of aging. | Innov Aging | 2021 | CORD-19 | |
| 4205 | Implementing a Community-Based Collaborative Project During the COVID-19 Pandemic: A Process Evaluation In-Home Supportive Services (IHSS) caregivers are critical linchpins in our long-term care system, but little research exists to examine the strategies for enhancing their role working in the homes of persons living with dementia (PLWD). The aim of the IHSS+ Alzheimer’s Disease and Related Dementias Training Project (IHSS+ ADRD Training Project) is to implement a competency-based dementia training program for 600 IHSS caregivers and their consumers; and evaluate the training program’s impact on caregiving, long-term services and supports, and health systems. This project is a partnership between the University of California, San Francisco, Institute for Health & Aging; Center for Caregiver Advancement, a nonprofit organization founded by home care workers; and Alameda Alliance for Health, a non-profit managed care plan created by and for residents of Alameda County, California. The research design and funding of the project was established just prior to the COVID-19 pandemic. As the pandemic evolved, the IHSS+ ADRD Training Project underwent many revisions and pivoted to remote strategies to ensure progress could be made toward the aims. This poster describes a process evaluation of how various challenges were addressed and subsequent changes were made to the methodology. Using a community-based participatory research and program evaluation hybrid model, this project remained nimble, configuring an online dementia training program and evaluation methods that accommodated safety needs of community partners. Benefits and limitations of implementing the IHSS+ ADRD Training Project, using remote strategies, to ensure IHSS caregivers and their consumers could continue receiving education and support, are highlighted. | Innov Aging | 2021 | CORD-19 | |
| 4206 | Aging Through the Time of COVID-19: Healthcare Access for Older Adults Living With Chronic Conditions Chronic conditions require on-going continuous management and preventive treatment. Over 80% of adults aged 65 and older have multiple chronic conditions. Concerns have arisen about how the COVID-19 pandemic is affecting the management of chronic conditions. Delay, avoidance, and poor management of healthcare during the COVID- 19 pandemic may increase the risk of unnecessary hospitalizations and mortality. This study aims to understand the impact of COVID-19 on healthcare access in a U.S. sample of Americans 50 years of age or older. Participants completed an online survey about healthcare access and other risk factors during the COVID-19 pandemic. Multinomial regression analysis examined the results of two key access points: healthcare provider /doctor (n=468) and medication (n=754). One-half (56%) of those who needed access to a provider were able to be seen. Participants who were older, had multiple chronic conditions, and those with a provider were more likely to have access. However, when individuals with more chronic conditions did not have access, they indicated that this lack of access was due to COVID-19. When not receiving access to medications, unemployed participants attributed the lack of access more often to COVID-19 than other reasons. These findings demonstrate an important lack of access to providers and medication among older adults during the pandemic. In multivariate models, this lack of access was most often due to COVID-19, in addition to traditional factors such as insurance, employment, and medical and behavioral comorbidity. Interventions are needed to lower access barriers to care even further during COVID-19. | Innov Aging | 2021 | CORD-19 | |
| 4207 | "Hunger Would Kill us Instead of the Pandemic:" Elders' Responses to COVID-19 in Ethiopia The COVID-19 pandemic has posed unpredictable challenges globally. Urban elders in Global South nations are among the major population groups vulnerable to COVID-19. A qualitative case study design was used to uncover the challenges and sources of support for poor urban elders during COVID-19 lockdown in Ethiopia. Data were collected from 27 elders age 60 and above in Debre Markos Town via in-depth interviews and document review. Narrative data were analyzed using thematic data analysis. Four prominent themes were identified: 1. Food insecurity (“Hunger would kill us instead of COVID-19”), 2. Hopelessness (“Feeling hopeless and begging to die”), 3. Social isolation (“We prefer social support rather than food donations”) and 4. Gratitude (“Feeling thankful”). The physical distancing program introduced to contain the pandemic isolated many elders and diminished their capacity to access support from others needed to perform their daily activities. An institutional welfare system is needed to ensure older adults in the Global South can live a joyful and dignified life, even through a global pandemic. Moreover, a special emergency fund to meet older adults’ basic needs during a pandemic like COVID-19 should be introduced to minimize the effect of crises on vulnerable groups like destitute older adults in Ethiopia. | Innov Aging | 2021 | CORD-19 | |
| 4208 | Disruptions and Adaptations in End-of-Life Care Delivery for Homebound Patients During COVID-19 The initial COVID-19 pandemic surge in New York City caused widespread delays and disruption in end-of-life services. This study examined the impact of disruptions among homebound adults in an HBPC practice who died between March-June 2020. Through an in-depth mixed-methods chart review, we identified 113 patient deaths (mean age: 87, 73% female, 67% with dementia). Forty-nine (43%) of deaths occurred in April 2020. Through a content analysis of clinician notes, we identified key COVID-related themes, including a shift to intensive phone-based care and to a lesser degree, telehealth; delays in hospice referrals and admissions; and an increase in treatment for behavioral symptoms. Our analysis also demonstrated the central role of family and paid caregivers in coordinating care, and efforts by patients, caregivers and providers to avoid hospital admissions. These findings demonstrate the importance of care coordination across medical, home and community partners to support end-of-life care in emergencies and beyond. | Innov Aging | 2021 | CORD-19 | |
| 4209 | Challenges Reported by Certified Nursing Assistants During COVID-19: A Qualitative Study Certified nursing assistants (CNAs) who care for vulnerable nursing home residents faced unprecedented circumstances due to the COVID-19 pandemic. While staff and PPE shortages were ubiquitous and widely known, the focus of this qualitative work was to gain a broader understanding of the numerous challenges they faced. We conducted 10 remote focus groups with CNAs at 5 nursing homes (N=56) in downstate New York. Content analysis was conducted, and emerging themes identified. Results showed a myriad of emotional challenges including helplessness, fear and anxiety. Operational challenges focused on lack of COVID testing capacity, information, and consistent guidance and support, in addition to staff and equipment. Individual challenges included personal experience of COVID illness and that of colleagues, and balancing high concurrent demands of work and family. These results are discussed in the context of developing recommendations to promote future safety, skill refinement and enhanced resilience in the workforce moving forward. | Innov Aging | 2021 | CORD-19 | |
| 4210 | Type 2 Diabetes Management Among Older Black American Men During the COVID-19 Pandemic: A Qualitative Investigation As COVID-19 swept across the globe in 2020, it appeared to have infected and killed Black Americans at a disproportionately higher rate. However, few studies have focused specifically on the complications of managing diabetes, expressly type 2 diabetes (T2D), among Black men during the global pandemic. Therefore, the purpose of this qualitative study was to seek understanding of the experiences in managing T2D among Black men during the COVID-19 pandemic. One on one interviews were conducted via Zoom video conferencing with twenty-two (n=22) Black men regarding their experience of managing type 2 diabetes (T2D) in a pandemic environment. Four main themes emerged from the study, which are: (1) stress levels during the pandemic, (2) barriers to managing my diabetes, (3) who/what is helping the most, and (4) communication with health-care provider. As more information becomes available, it is apparent that having diabetes increases the risk for detrimental COVID-19 outcomes (i.e. increased lengths of hospital stays, the need for mechanical ventilation, and mortality. Future research efforts are crucially needed to provide an improved understanding of how individuals across all racial groups are managing diabetes during the COVID-19 pandemic. | Innov Aging | 2021 | CORD-19 | |
| 4211 | Group Telehealth Interventions Fostering Social Connection Among Older Veterans and Their Families During the early months of the COVID-19 pandemic, virtual and telephone visits rapidly replaced most in-person care within the Veterans Health Administration (VA) to reduce virus spread. To address the emerging mental health needs of older Veterans (e.g., isolation, loneliness), we developed an 8-week group treatment manual, deliverable over telephone or videoconference, to foster social connection and address pandemic anxieties. The manual was disseminated in March 2020 as a rapid response to emergent COVID-19 pandemic realities, during which many locations in the United States called for immediate self-quarantine measures for unknown durations. This talk will present the user-centered design of the manual, preliminary feasibility and acceptability findings from provider surveys, and introduce versions of the manual targeting specific populations (e.g., caregivers, Spanish speakers) currently in development or in pilot testing. | Innov Aging | 2021 | CORD-19 | |
| 4212 | Systems Barriers to Medication Management During Hospital to Home Transitions of Older Adults With Dementia The hospital-to-home transition is a high-risk period for medication errors and adverse events for older adults living with dementia. Researchers conducted a qualitative study using semi-structured interviews and participant solicited diaries. Caregivers of adults ages 55 and older were recruited to understand barriers to medication management during hospital to skilled home health care transitions. We used a human factors engineering approach to guide our understanding of systems level barriers. At least two researchers independently coded each transcript using content analysis and the ATLAS.ti software. We interviewed 23 caregivers and identified five barrier types stemming from systems breakdowns related to: (1) knowledge and information, (2) access to and use of resources and tools, (3) caregiver burden, (4) pandemic concerns, and (5) health limitations. Caregivers grappled with receiving overwhelming, insufficient, incorrect, or conflicting information, and had difficulty managing information from different sources. Latinx caregivers encountered language barriers that impeded role and task clarity. Caregivers expressed mistrust in health systems elements and inability to access resources. Caregivers were in need of additional caregiving assistance, financial aid, and tools to manage medications. Balancing multiple medications and responsibilities left caregivers burdened. The health limitations of the older adult and COVID-19 concerns related to reduced access to resources and ability to deliver and receive in person care complicated task management. Altogether these barriers reflect systems level breakdowns impeding task understanding, execution, and overall management. These findings will inform the development of interdisciplinary strategies to ensure safer care transitions. | Innov Aging | 2021 | CORD-19 | |
| 4213 | The Controversies Over Maritain in Chile and Argentina. Precursors of Different Progressive and Conservative Catholicisms This work analyzes the controversies over Maritain in Argentina and Chile to read them comparatively, which leads to a medium-term interpretation of these debates as precursors, as trailblazers for different progressive and conservative Catholicisms. These different expressions of Catholicism, forged around the controversies over Maritain, had lasting and profound effects on the historical development of the Catholic Church and its positions on politics in both countries. Thus, our research intends to provide an explanation for both the different expressions of progressive Catholicism, which developed in the two countries in the 1960s and 1970s, as well as the different majority reactions on the part of the Catholic Church during the last military dictatorships in Chile and Argentina. We do not seek to impose a single explanation with this idea, but rather to highlight certain aspects of Catholicism in Argentina and Chile that help to explain the Church’s attitude to politics in both countries and which can be seen more clearly in a comparative analysis. In line with Reinhart Koselleck, we argue that the debates on Maritain opened different “expectation horizons” that outlined the possibilities of thinking the political expressions of conservative and progressive Catholicisms in both countries. As medium-term structural factors, these “expectation horizons” help to understand the Catholic Church’s reactions to the last military dictatorships in Chile and Argentina. | N/A | 2022 | CORD-19 | |
| 4214 | Senolytics Reduce Coronavirus-Related Mortality in Old Mice The elderly and chronically ill are among groups at the highest risk for morbidity and mortality to several infections, including SARs-CoV-2. Cellular senescence contributes to inflammation, multiple chronic diseases, and age-related dysfunction, but effects on responses to viral infection are unclear. Old mice acutely infected with pathogens that included a SARS-CoV-2-related mouse β-coronavirus experienced increased senescence and inflammation with nearly 100% mortality. Targeting SCs using senolytic drugs before or after pathogen exposure significantly reduced mortality, cellular senescence, and inflammatory markers and increased anti-viral antibodies. Thus, reducing the SC burden in diseased or aged individuals should enhance resilience and reduce mortality following viral infection, including SARS-CoV-2. | Innov Aging | 2021 | CORD-19 | |
| 4215 | The 2008 Recession and Biological Health: Psychological Well-Being and Social Disadvantage Modify Vulnerability Racial minorities and educationally disadvantaged experienced more housing loss, unemployment, and financial strain during the 2007-2009 Great Recession. These hardships may heighten stress and amplify persistent and growing health inequities, which were further worsened by the recent COVID-19 pandemic. It is therefore essential to identify factors that contribute to individual differences in vulnerability so that more effective interventions can be implemented, especially in older adult populations who may face unique economic hardships tied to age discrimination. According to the reserve capacity model, higher levels of psychosocial resources, including psychological well-being, can protect against the negative health outcomes related to heightened stress exposure. This study tested the intersections between recession hardship, pre-existing vulnerability defined as racial and educational disadvantage, and psychological well-being as predictors of biological indicators of chronic allostatic load. Chronic allostatic load was assessed with cardiovascular reactivity and recovery to acute mental stress and systemic inflammation (basal indicators of C-reactive protein and interleukin 6). Biological data came from a national sample of adults known as the Midlife in the US Study (MIDUS; age = 25-75, N=863) that completed assessments after the recession. Multiple regression models revealed that more widespread recession hardship predicted greater biological dysregulation. Tests of three-way interactions revealed that the association between recession hardship and biological dysregulation was strongest among respondents with combined disadvantages of low educational status and low levels of psychological well-being. This study connected a major economic event to individual variation in health vulnerability and identified potential biological pathways to future disease outcomes. | Innov Aging | 2021 | CORD-19 | |
| 4216 | Nursing Students Visiting People with Dementia Online during COVID-19: A Qualitative Study The coronavirus disease 2019 (COVID-19) crisis has impacted the daily routines of students, people living with dementia, and their care partners. Social distancing results in fewer interpersonal interactions and enjoyable activities which makes life more challenging for those living with dementia. The purposes of this multiple case study were to understand how nursing students, people with dementia, and care partners (a) describe online visits between nursing students and people with dementia during stay-at-home directives in response to COVID-19 and (b) the perceived visit benefits. Nursing students participated in online visits to socially engage with their mentor (person living with dementia). During the visits it was anticipated that care partners would enjoy a brief respite. After 12 visits, investigators completed one-to-one online interviews with students (n = 10), care partners (n = 8) and mentors (n = 8). All cases reported a positive experience, perceptions of the conversations, improved social connection and meaning and purpose, mentor’s enhanced cognition and planned future connections. Relationships were formed between students, people with dementia, and care partners during online visits, an activity that might be implemented outside of a crisis to prevent social isolation across generations. Future efforts to engage people with dementia in residential facilities should be formally integrated into the care plan and staff dedicated to help with technology assigned. | Innov Aging | 2021 | CORD-19 | |
| 4217 | Breathing Uneasy: Fit-Tested N95 Respirator Access in Washington State Long-Term Care Facilities Long-term care facilities (LTCF) have been disproportionately impacted by illness and death from COVID-19. Shortages of respirators for staff, especially Particulate Filtering Facepiece Respirators (N95), have limited LTCFs ability to follow public health recommendations for preventing COVID-19 transmission. Use of N95 respirators was infrequent in Washington State (WA) LTCFs prior to May 2020. N95 respirators must be individually fit tested to provide intended protection; a fit test is a procedure that tests the seal between the N95 respirator and the wearer’s face. The WA Department of Health (WA DOH), collaborated with stakeholders to survey LTCFs in November 2020 regarding needs for fit tested respirators and analyzed responses (n=384). Responses by facility type: 8.3% nursing homes, 17.7% assisted living, 62.8% adult family home, 11.2% other. In WA, adult family homes (AFH) are licensed for six or fewer residents. 23.70% of LTCFs indicated they did not have any N95 respirators in stock at their facility; 96.7% of these were AFH. In August 2020 WA DOH surveyed AFH owners and received 110 responses; 9.76% reported having at least one staff member fit tested for respirators. Smaller facilities may experience increased burden in accessing N95 respirators and fit testing due to lack of established relationships with suppliers and small volumes being purchased. WA DOH used federal COVID funding to contract with mobile fit testing providers and prioritized AFHs for this service. Between December 1, 2020-February 28, 2021, staff at 290 LTCFs were fit tested. The project will continue throughout 2021. | Innov Aging | 2021 | CORD-19 | |
| 4218 | Fostering Intergenerational Connections in the time of Covid-19: A Friendly Caller Program Social isolation affects one in five older adults, significantly increases the risk of premature death from all causes and is associated with higher rates of depression, anxiety and suicide. Covid-19 has exacerbated social isolation, including among older adults that reside in senior apartments. In response, a Friendly Caller Program was developed to foster intergenerational social connections among university students and residents in a large housing community that serves older adults aged 62 and older who have limited income and have mobility impairments. This study aimed to evaluate the Friendly Caller Program from the perspective of the older adult. An online survey includes questions about the participants’ demographic characteristics, physical and mental health self-assessment, social support, and ways in which the Friendly Caller Program has affected these areas of their life. An open-ended question assesses older adult participant expectations of the Friendly Caller Program. Results describe the population currently being served by this program and indicate that the program has a positive influence on participants’ feelings of safety, support and ability to function. Suggestions for future research include assessing university student perceptions about the benefits of participation as callers in the program and creating a toolkit that can guide other universities to create similar programs in partnership with housing communities that serve older adults. | Innov Aging | 2021 | CORD-19 | |
| 4219 | Do State Agency on Aging Strategic Plans Include Terms Related to Malnutrition? Demand for federal nutrition assistance programs is increasing as the older population grows and further accelerated with the COVID-19 pandemic. Older adult nutrition programs are based on federal nutrition guidelines that have traditionally focused on healthy populations, yet many older adults have multiple chronic conditions/advanced age. Some guidelines are changing; the 2020 Dietary Guidelines for Americans recognize older adults’ risk for malnutrition and also need for adequate protein to prevent lean muscle loss with age. The 2020 Older Americans Act (OAA) reauthorization included reduction of malnutrition in OAA’s official purpose and added program participant screening for malnutrition. The OAA requires State Agencies on Aging submit multiyear strategic plans to receive program funding, but it is unknown how the plans address risks for malnutrition, including overweight, underweight, and muscle loss (sarcopenia/frailty). We searched 51 State Agency on Aging strategic plans posted at advancingstates.org to determine their frequency of mentioning nutrition, malnutrition/underweight/undernutrition, obesity/overweight, frail/frailty, sarcopenia, and dietary supplements/oral nutrition supplements (DS/ONS)/meal replacements. Every state plan included nutrition but less than a third included malnutrition. There was wide variability in how nutrition and malnutrition were incorporated into state goals and strategies. Very few plans included obesity, frailty, and DS/ONS terms; none included sarcopenia. Although there has been some movement, there is need for many State Agencies on Aging plans to address all aspects of malnutrition including overweight, underweight/other factors related to muscle loss (sarcopenia/frailty) that adversely impact healthy aging. Wide disparities in plan structure/use of terms create opportunities for more common approaches/definitions. | Innov Aging | 2021 | CORD-19 | |
| 4220 | Failure to Thrive: Nursing Home Staff Experiences in Caring for Residents during the COVID-19 Pandemic Nursing home residents and staff have accounted for roughly 40% of Coronavirus-related deaths in the U.S. The burden of caring for vulnerable residents coupled with isolation policies has taken a significant emotional toll among direct health care staff in long term care facilities. This study explores nursing home staff’s experiences in caring for residents during the COVID-19 pandemic. A qualitative descriptive approach with a semi-structured guide was used to conduct individual interviews. We recruited nursing home staff employed during the COVID-19 pandemic in long term care facilities located in New York State. Interviews were recorded, transcribed verbatim, and then analyzed using Braun and Clarke’s Reflexive Thematic analysis. Twelve nursing home staff were interviewed. Participants consistently refer to failure-to-thrive as an extremely concerning problem because many residents demonstrate decreased appetite and poor nutrition, inactivity, and depressive symptoms due to social isolation. They also often feel frustrated and overwhelmed due to uncertainty and shortages of staff. Five main themes were identified, including doing their best to manage residents’ failure-to-thrive, working as a team, keeping family members informed and connected, struggling to balance competing personal and professional demands, and needing support to reduce stress and build strength. Our study findings indicate that nursing home staff experienced a high level of stress and identified failure-to-thrive caused by isolation and loneliness as a common phenomenon among nursing home residents during the COVID-19 pandemic. Interventions are urgently needed to reduce isolation and loneness in nursing home residents and to provide support for staff. | Innov Aging | 2021 | CORD-19 | |
| 4221 | Exploring older adults' lived experiences of COVID-19: A narrative inquiry study COVID-19 dramatically changed daily life for older adults in numerous and complex ways. Research is calling for an understanding on how COVID-19 has and will impact aging, and older adults’ lived experiences with aging, within the context of the pandemic. Social and physical distancing guidelines have put older adults at an increased risk for social isolation. Intergenerational tensions have also intensified during the pandemic, and early research states the labeling of older adults as a homogenous and “vulnerable” group can lead to an increased risk of ageism in their communities. Therefore, the purpose of this study is to explore how community-dwelling older adults (ages 65 and greater) experience daily life amid the COVID-19 pandemic using a biopsychosocial approach. This study employs a critical qualitative narrative inquiry design. Data will be collected through solicited diaries and semi-structured individual interviews (via telephone and video conferencing software). Data will be analyzed thematically and involve a re-storying of the findings. Preliminary results will be presented and discussed. This study aims to inform new and critical perspectives that broaden our understanding of how the overall health, wellness, and quality of life of older adults can be supported. Findings contribute to the current and developing knowledge of older adults’ first-person accounts of their experiences within the COVID-19 pandemic. | Innov Aging | 2021 | CORD-19 | |
| 4222 | Caregiving and COVID-19: Perspectives from a Care Coach Family caregivers of community-dwelling older adults have faced unprecedented caregiving challenges during the COVID-19 pandemic. Examining the accumulated impact on family caregivers can help health and aging service providers design resources and supports that are resilient to emergency situations, and reduce negative psychological and physical consequences and risk of abuse within caregiving dyads. Data was collected as part of a pilot intervention in which “Care Coaches” provided telephonic coaching sessions to family caregivers of older adults. We examined Care Coach observations documented after coaching sessions with 24 family caregivers between March 2020 and February 2021. Two coders employed thematic analysis to generate codes and themes. The sample was 70% female, 80% were the spouse or significant other of their care receiver, the mean age was 61, and 53% were Non-Hispanic White. Themes and sub-themes included: (1) increased caregiver burden and diminished care networks due to fear of exposure to or contraction of COVID-19, (2) barriers to accessing in-home personal assistance services and home-delivered meals despite intervention efforts, and (3) the exacerbation of caregiver social isolation due to COVID-19 lockdown policies. Findings highlight the ways in which COVID-19 has amplified caregiver burden through the breakdown of formal and informal support systems. Potential adaptations of community-based services for older adults and their caregivers include remote service liaisons and need assessment of caregiver dyads to assure access to home-based personal assistance services and nutrition support for those at greatest risk of negative consequences during emergency service lapses. | Innov Aging | 2021 | CORD-19 | |
| 4223 | Caring During COVID-19: Inequalities in Resource- and Information-Sharing by Race, Ethnicity and Nativity Americans experienced significant challenges as a result of the pandemic, further magnifying the weak U.S. social safety net. With few institutional supports available, individuals turned to each other for assistance. Relying on multiple nationally representative surveys, this study examines resource-sharing by race, ethnicity, and nativity over a one-year period during COVID-19. Furthermore, this study examines knowledge-related behaviors, such as information-seeking and information-sharing, which were also important tools utilized during the pandemic. Differences in both resource- and information-sharing contributed to disparities in the perceptions of risk, the reported levels of need, and concomitant behaviors linked to well-being. This research emphasizes the importance of personal relationships during times of crisis, and the role of social connections in shaping health and economic inequalities between minority- and non-minority populations. | Innov Aging | 2021 | CORD-19 | |
| 4224 | The Utility of Social Media Recruitment to Achieve a More Diverse Participant Sample The COVID-19 pandemic created an immediate, lasting impact on recruitment methods in academic research, most notably in the field of gerontology. To protect older adult participants' health during the COVID-19 crisis, the Daily Balance Project, a 30-day micro-longitudinal study of older adults' awareness of balance in daily life, shifted to complete remote administration. Our new remote protocol included developing new methodologies to recruit participants with varying degrees of fall risk and educational attainment. In this study, we present our approach to remote online recruitment and compare educational attainment, objective and subjective fall risk, and alignment of objective/subjective fall risk across three samples recruited via a) Fall Clinic registry (16 participants); b) University e-newsletter to faculty and staff (5 participants); c) social media recruitment (7 participants). Eligibility included being 65+ and wireless internet at home. For samples a and b, screening assessments were conducted via phone while baseline assessments were conducted in-person. For sample c, screener and baseline assessment were virtual. Analysis of recruitment methods aims to determine whether recruitment via social media platforms may provide a sample of participants with more variation in fall risk or alignment of subjective versus objective balance. Results demonstrate no significant differences in educational attainment (p=0.7949) or balance confidence (p=0.213), despite significant differences in the alignment of objective and subjective fall risk (p=0.031). Participants from samples a and b proved more able to accurately assess fall risk, while sample c had the most misalignment between subjective and objective fall risk assessments. | Innov Aging | 2021 | CORD-19 | |
| 4225 | Attitudes and Beliefs of Older Black Americans Towards the COVID-19 Virus and Vaccine The COVID-19 pandemic, an unprecedented health emergency, has devastated the nation, and disproportionately affected persons of color, especially Black Americans. It has forced health officials to rapidly develop and distribute COVID-19 vaccines, resulting in the importance of understanding Black Americans’ attitudes and beliefs about COVID-19. We analyzed experiences of 167 Black Americans, ages 65 and older, recruited from Wayne State Institute of Gerontology Healthier Black Elders Center and surrounding communities. Participants were telephoned starting September 2020 and given the GAD-7 anxiety scale and a COVID-19 questionnaire measuring demographics, stressors, and emotional responses associated with the COVID-19 pandemic. A scale was also designed, adapted from the Health Belief Model, to measure fear of getting COVID-19, beliefs about the origins of COVID-19, uncertainty about vaccine safety, and intent to be vaccinated (5-point Likert scale). Of the 167 participants, 112 (67%) said they would agree to vaccination, 24 (14%) were ambivalent, and 31 (19%) said they would decline. T-tests comparing pro- and anti-vaccine participants showed that those not planning to get vaccinated expressed lower generalized anxiety (p=.002), COVID-19 fear (p<.001), and concerns about vaccine safety (p=.01), but greater belief that COVID-19 is man-made (p=.05). The current study provides a snapshot of urban Black American older adults who are in general eager to get vaccinated for COVID-19. Counterintuitively, those unwilling to accept the COVID-19 vaccine also had lower concerns for vaccine safety. More research is needed to fully understand the attitudes and beliefs of this underserved population regarding the COVID-19 virus and vaccine. | Innov Aging | 2021 | CORD-19 | |
| 4226 | Challenges in Implementing Evidence-Based Dementia Care Programs in Community-Based Settings: ADS Plus The Adult Day Service Plus Program (ADS Plus) augments the usual care provided by ADS programs by integrating education, referrals, and problem-solving strategies for family caregivers of persons with dementia. Utilizing a mixed-methods, hybrid effectiveness design, we were in the process of conducting a national evaluation of ADS Plus across xx geographically and culturally diverse programs across the U.S. when the COVID-19 pandemic resulted in the shutdown of almost all of the programs participating in ADS Plus. Qualitative and quantitative data collected during the evaluation suggested that a more robust incorporation of implementation domains and measures (e.g., organizational readiness to change) may have helped avoid some of the challenges related to staff training, fidelity, and other critical intervention delivery aspects. Incorporating implementation science frameworks and measures as early as possible in intervention design may have helped to overcome some of the challenges experienced in ADS Plus. | Innov Aging | 2021 | CORD-19 | |
| 4227 | Age and Gender Differences in Long-Term Exercise Behavior for Older Adults with Heart Disease Exercise decreases mortality and hospital admissions. Exercise adherence is challenging, and little is known about exercise adherence especially in older adults with heart disease. To gain an understanding of long-term exercise behaviors in older adults we conducted a cross-sectional study of individuals diagnosed between 2016-2020 with myocardial infarction (MI)/angina. Emails were sent in 2020 to recruit participants. Exercise adherence was measured using the Exercise Adherence Rating Scale (EARS), Godin’s Leisure-Time Activity Scale (GLTEQ) for exercise intensity, and self-report for impact of COVID-19. Descriptive statistics and t-tests were used to analyze data. Eight-hundred and seven individuals (x ® age 67.3) responded to the on-line survey. The majority were males (68.8%), married, (68.9%), and retired (59.3%). Co-morbidities included hypertension (32%), hyperlipidemia (21%), diabetes (12%), and depression (6.2%). Long-term exercise behaviors were independently observed in participants ≥65yr (n=526) and <65yr (n=281). Females ≥65yo demonstrated higher exercise adherence scores compared with males ≥65yo (1.66 ± 1.1 vs. 1.30 ± 21.7; t = -2.59, p=.010). Conversely, males scored higher in exercise intensity (34.4 ± 24.7 vs. 22.6 ± 21.7; t = 3.84, p=.000). Gender related exercise adherence and exercise intensity did not differ significantly in <65yo (p=.278 & p=.282, respectively). Exercise frequency decreased in both age groups after COVID-19 Pandemic started, however the decrease was significant only in older adults (p=.014) indicating they were at greater risk for exercise problems when faced with environmental barriers. Additional research is recommended as to the impact of environmental factors on exercise adherence in older adults and potential interventions. | Innov Aging | 2021 | CORD-19 | |
| 4228 | Accelerometry-Based Assessment of Physical Activity in Older Adults During COVID-19 Pandemic COVID-19 pandemic has caused a severely detrimental effect on the physical, psychological, and functional well-being of older adults by forcing them to limit their social activities. This study investigates the amount and intensity of daily physical activity (PA) in older adults, living under the social distancing guidelines during COVID-19 pandemic. In this cross-sectional study, 124 community-dwelling older adults (Age:60–96 years, mean:75±7.14) were recruited via word-of–mouth and key person approach between March 2021-August 2021. Participants completed an online survey on COVID-19 questionnaires and wore an ActiGraph GT9X accelerometer on their non-dominant wrist for consecutive 7 days in free-living conditions. Euclidean Norm Minus One cut-points were used to estimate the total time spent in sedentary behavior (SB), light PA (LPA) and moderate-to-vigorous PA (MVPA). Results showed that, 7% had COVID-positive, 55% perceived moderate severity of COVID in their area, 31% reported fear of COVID, and 14.5% were afraid of losing their life to COVID. On average, participants obtained 12.43±2.1 hours/day of SB, 3.47±1.05 hours/day of LPA and 42.71±29.71 minutes/day of MVPA. MVPA minutes/day was significantly higher (P = 0.006) in participants aged 60-85 years than those aged 85+ years (45.38 minutes/day vs 14.25 minutes/day). When age-adjusted data was compared to pre-COVID-19 studies, we found COVID-19 pandemic had negatively impacted the physical activity level in older adults (29.33% decrease in MVPA and 39.2% increase in SB). These findings can be useful in developing guidelines and/or interventions to promote physical activity and healthy aging among older adults, particularly those in social isolation. | Innov Aging | 2021 | CORD-19 | |
| 4229 | Intergenerational Relationships as a Resource for Resilience During the COVID-19 Pandemic The intergenerational ties that offer support to older adults are likely useful for resilience during the COVID-19 pandemic. We analyzed whether positive and negative intergenerational contact was associated with positive pandemic-related personal change. We utilized data collected from 566 adults aged 50 and older between August 2020 and January 2021 via MTurk and a statewide research registry. Participants reported the quality of their contact with younger adults, and whether they experienced positive changes (i.e. new hobbies, healthier behavior, greater meaning in work) as a result of the pandemic. Higher positive, but not lower negative, non-familial intergenerational contact was associated with a higher number of positive pandemic-related changes (estimate = 0.07, SE = 0.03, p=0.02). The quality of familial intergenerational relationships were not associated with positive pandemic-related changes. Non-familial intergenerational relationships may be especially important for resilience, and should be supported during a time when they may be difficult to maintain. | Innov Aging | 2021 | CORD-19 | |
| 4230 | Family Caregiving in the Somali-American Community During COVID-19 This poster describes a study of Somali American family caregiving during the COVID-19 pandemic, specifically investing the unique caregiving challenges faced by Somali caregivers. The findings from this study, which was part of a larger study related to family caregiving, were drawn from in-depth interviews of ten Somali family caregivers in Minnesota. All interviews were conducted in Somali during the summer of 2020 and translated and transcribed by a certified translator and research assistant. The major themes that emerged from this study related to Visitation, Hospital Accompaniment, and Self Sacrifice. As Somali culture is centered around extended family connections, isolation places particular strain. Second, family members typically serve as advocates, translators and guides during hospital visits. The restrictions on hospital accompaniment due to COVID-19 caused increased stress and poorer care of family caregivers and their loved ones. Third, in the Somali community, family placement is a last resort. Caregivers reported great sacrifices in time, comfort and opportunities to care for family members during COVID-19. Most of the caregivers described their coping with these sacrifices in terms of radical acceptance and God consciousness. These findings have important implications for providing supports for Somali family caregivers. | Innov Aging | 2021 | CORD-19 | |
| 4231 | Too close for comfort? COVID-19-related stress among older couples and the moderating role of closeness Married and cohabiting couples have important influences on one another’s stress and well-being. Pandemic-related stress may influence the extent to which couples' stress levels are coregulated. This study examined the experience of nonspecific stress and pandemic-related stress and the moderating role of closeness among couples aged 50 and over in which at least one member had hypertension. A total of 30 couples reported their feelings of closeness to one another in a baseline interview and their feelings of nonspecific stress and pandemic-related stress every three hours for 5 days. There was no difference in closeness and nonspecific stress between husbands and wives. Wives reported greater pandemic-related stress than husbands. Actor-partner interdependence models revealed that wives’ nonspecific stress predicted husbands’ nonspecific stress (b = 0.17, SE = 0.04, p < .001) and that husbands’ nonspecific stress predicted wives’ nonspecific stress in each three hour period (b = 0.19, SE = 0.04, p < .001) and these associations were not moderated by closeness. Coregulation in pandemic-related stress among husbands and wives was moderated by wives’ feelings of closeness such that when wives’ feelings of closeness were lower, greater husband pandemic-related stress predicted lower pandemic-related stress for wives (b = -0.16, SE = 0.07, p < .05) whereas when wives’ feelings of closeness were higher, greater husband pandemic-related stress predicted greater pandemic-related stress for wives (b = 0.22, SE = 0.09, p < .05). These findings indicate that closeness may have detrimental effects especially when considering emotional coregulation in couples regarding the pandemic. | Innov Aging | 2021 | CORD-19 | |
| 4232 | Optimal control design incorporating vaccination and treatment on six compartment pandemic dynamical system In this paper, a mathematical model of the COVID-19 pandemic with lockdown that provides a more accurate representation of the infection rate has been analyzed. In this model, the total population is divided into six compartments: the susceptible class, lockdown class, exposed class, asymptomatic infected class, symptomatic infected class, and recovered class. The basic reproduction number ( R 0 ) is calculated using the next-generation matrix method and presented graphically based on different progression rates and effective contact rates of infective individuals. The COVID-19 epidemic model exhibits the disease-free equilibrium and endemic equilibrium. The local and global stability analysis has been done at the disease-free and endemic equilibrium based on R 0 . The stability analysis of the model shows that the disease-free equilibrium is both locally and globally stable when R 0 < 1 , and the endemic equilibrium is locally and globally stable when R 0 > 1 under some conditions. A control strategy including vaccination and treatment has been studied on this pandemic model with an objective functional to minimize. Finally, numerical simulation of the COVID-19 outbreak in India is carried out using MATLAB, highlighting the usefulness of the COVID-19 pandemic model and its mathematical analysis. | N/A | 2022 | CORD-19 | |
| 4233 | The Impact of COVID-19 on Adult Day Services' Closures and Programming Nationally, adult day services (ADS) were forced to closed due to the COVID-19 pandemic. The forced closure of ADS programming consequentially impacted the services provided to clients. Many ADS continued to provide telephonic/remote services to clients, despite limited reimbursement from national and state sources for these services. Using data from ADS sites participating in the ADS-Plus Program (n= 22), this presentation examines the effects of COVID-19 on ADS closures and programming provided during the closure. About 86% (n=19) of the centers reported having to closed due to COVID-19. One-hundred percent of the sites reported offering telephone support to clients. Nearly 45% (n=10) of the centers reported not being reimbursed for this service. As ADS is a vital community-based resource for many families, it is important to demonstrate the crucial services provided by ADS to inform policymakers of the essentiality of day centers. | Innov Aging | 2021 | CORD-19 | |
| 4234 | Adult Day Services as an Essential Service and Support Throughout the COVID-19 pandemic, the significant challenges and gaps related to the care of older people in the U.S. were made distressingly apparent. This summary presentation will consider the effects of COVID-19 and associated shutdowns on older persons who use ADS programs, their family caregivers, and programs/staff themselves. Among recommendations to consider are the classification of adult day services and similar community-based long-term care providers as essential (and clarifying their difference from senior centers). In addition, considering new financing approaches and utilizing ADS or similar community-based programs as incubators of evidence-based innovation are options to consider to better align ADS with optimal dementia care. | Innov Aging | 2021 | CORD-19 | |
| 4235 | Coping With COVID: Does Prior Military Service Play a Role for Vietnam Veterans? We investigated the impact of earlier military combat on ability to cope with the COVID-19 pandemic in 379 male Vietnam veterans who responded to surveys in 1984, 1998, and 2020. Combat exposure was scored with a validated scale, contrasting lowest tertile (8-15) vs. medium/high (16-40). About one-fourth of veterans (26%) reported that their military experience made it easier to cope with the pandemic, while over half (59%) said it had no effect. Medium/high-combat veterans were more likely to report that their military experience made coping easier (OR = 1.8, p = 0.03), but were less likely to report no effect of service on their coping than low-combat veterans (OR = 0.40, p<0.001). All 19 respondents (5%) who said military experience made coping more difficult were medium/high combat veterans. Military experience, and combat particularly, affected many of these veterans’ ability to cope with the pandemic decades after their service. | Innov Aging | 2021 | CORD-19 | |
| 4236 | Nach COVID-19 kommen oft Ängste und Depressionen | N/A | 2022 | CORD-19 | |
| 4237 | Herausgeberbrief | N/A | 2022 | CORD-19 | |
| 4238 | Studie stützt Virushypothese bei Multipler Sklerose | N/A | 2022 | CORD-19 | |
| 4239 | ADHS: COVID-19-Pandemie als zusätzlicher Stressor | N/A | 2022 | CORD-19 | |
| 4240 | Mental Health Effects of COVID-19 in Older Adults Are Moderated by Existing Mental Health Needs and Emotional Support Mitigating mental health consequences is one of the priorities for the society to advance, and the aim of this study is to investigate the mental health effects of COVID-19 in older adults and to explore risk and protective factors. Social workers recruited 722 older adults living in the community (mean age 73.6±8.4) from January 2020 to February 2021 in Hong Kong, and interviewed them for basic demographics (age, gender, education, and living status), mental health service use in recent three months (proxy for existing needs), number of people to talk to when feeling down (proxy for emotional support network), and assessed their depression using Patient Health Questionnaire-9 (PHQ-9). Impacts of COVID-19 were indicated by local daily effective reproductive number (Rt) and Nth wave since the start of the pandemic. Generalized linear models (GLM) were applied. Basic demographics were not associated with depression, existing mental health needs (β=2.99, p<.001), Rt (β=1.08, p<.05) and Nth wave (β=0.49, p<.05) were positively associated with depression, while emotional support network was negatively associated with depression (β=-2.47, p<.001). There was also a significant interaction between Rt and Nth wave on depression (β=0.69, p<.05), suggesting ongoing COVID-19 took a toll on older adults’ mental health. Three-way interactions between COVID-19 Rt, Nth wave and existing mental health needs (β=0.25, p<.05) and emotional support network (β=-0.12, p=.07) on depression further indicated that older adults with existing mental health needs warrant more attention, and wider emotional support network may buffer the impact of the pandemic on mental health. | Innov Aging | 2021 | CORD-19 | |
| 4241 | Transnational Caregiving for Older Adults and Caregivers' Wellness in Japanese Americans during the Pandemic Global migration has greatly affected intergenerational family support beyond national borders, in particular adult children’s transnational family caregiving for elderly parents. Specifically, the COVID-19 pandemic has largely influenced transnational caregiving due to the travel restrictions. Transnational caregiving for older adults includes adult children’s periodical returning to their home country and/or adult children’s caregiving for their parents in their settled country. The goal of this study was to identify trajectories between adult children’s transnational caregiving for their parents and caregivers’ wellness in Japanese Americans before and during the pandemic. We conducted semi-structured interviews with Japanese Americans 40 to 59 years of age (N=20) in California before the lockdown and during the increasing number of patients infected with the Delta variant. The qualitative data analysis showed some Japanese Americans periodically returned to Japan to provide caregiving for their parents before the pandemic, while others didn’t. However, the former group currently relied on their families in their home country more than before. The limitations led to not only distress over uncertainty but also release from a strong sense of reciprocity and filial responsibility, by changing from physical support to emotional and financial support via online. They also enhanced cultural identity as Japanese Americans, by thriving from discrimination against Asian Americans. Thus, our findings demonstrate important factors that impacted on transnational caregiving and caregivers' wellness, including cultural identity, family norms, beliefs and practices of intergenerational support, social and historical contexts, financial remittance, ICT use, and healthcare policies among the underrepresented populations across the Pacific. | Innov Aging | 2021 | CORD-19 | |
| 4242 | Age Differences in Positive Event Appraisals during COVID-19: Evidence from a Daily Diary Study Multiple studies suggest that community-dwelling older adults are psychologically resilient in the face of the COVID-19 pandemic. Notably, during the initial weeks of the COVID-19 outbreak, older age was associated with engaging in more daily positive events (Klaiber et al., 2021, Journal of Gerontology: Psychological Sciences). We followed up on these findings by exploring age differences in positive event appraisals during the COVID-19 pandemic. During the 7-day diary study conducted between March and August 2020, 1036 participants (mean age = 45.95, SD = 16.04, range = 18-91) reported their positive events in nightly surveys. If at least one positive event occurred, participants rated their appraisals of the event on the following dimensions: importance, calmness, happiness, gratitude, personal responsibility, and control. Older adults (60 years+) rated their positive events to be more personally important and felt more calm and happy during these events, compared to younger (18-39 years) and middle-aged adults (40-59 years). Furthermore, older adults felt more grateful during positive events compared to younger but not middle-aged adults. There were no age differences in feelings of control or personal responsibility for positive events. These findings highlight the importance of daily positive events for older adults during a time of major stress. In line with theories on adult development, daily positive event processes in older adults are characterized by valuing positive and meaningful social connections, as well as a greater degree of positive event-specific emotions such as feeling calm, happy, and grateful. | Innov Aging | 2021 | CORD-19 | |
| 4243 | Caring for a Family Member Living With Dementia When Adult Day Services Close Adult Day Service (ADS) centers play an important role in community services that help families keep a person living with dementia (PLWD) at home. We interviewed 33 family caregivers about their experience during the COVID-19 Pandemic and the shutdown of the ADS centers where the PLWD attends. All 33 (100%) reported that the ADS center was shut for a period of time (range: 2 weeks – remain closed). Caregivers reported a decline in their physical health (33%,n=11) and mental health (52%,n=17) and an increase in feelings of loneliness (48%,n=16). For the PLWD, the caregivers noted, a decline in physical (48%,n=16) and mental (55%,n=18) health and an increase in behaviors (39%,n=13). The shutdown of most ADS centers across the country due to the COVID-19 pandemic has had implications not only for the ADS sites but for the families that entrust them with the care for a family member. | Innov Aging | 2021 | CORD-19 | |
| 4244 | Implications of the COVID-19 Pandemic on Adult Day Services Adult day service (ADS) centers serve an important role in care provision for people living with dementia (PLWD). These programs provide socialization, activities, and access to many therapies for PLWD. Additionally, they offer respite to family caregivers so they can work, run errands, and recharge. In March 2020, like much of the nation, ADS sites across the nation were shut down. This left many PLWD and their caregivers without access to the services they depended on to manage day to day care. It also left many sites without a revenue source to pay employees and maintain buildings. Almost a year later, many states have still not reopened ADS and sites that have reopened have done so with a lower census, increased costs, and the lingering fear of a second closure. Much focus has been on the care of older adults in nursing homes or other residential long-term care settings but the challenges of ADS and the people they serve has been mostly ignored. The purpose of this symposium is to highlight the implications of the COVID-19 pandemic on ADS centers. Holly Dabelko-Schoeny will present data gathered from ADS Centers across Ohio. Lauren Parker, will then present data from ADS sites across the United States that examines the effect of COVID-19 on closures and programming during the closures. Katherine Marx will present the effect of ADS closures on family caregivers of persons living with dementia. Finally, Joseph Gaugler will explore this from a policy perspective and provide recommendations moving forward. | Innov Aging | 2021 | CORD-19 | |
| 4245 | Gender Differences in Enterprise Performance During the COVID-19 Crisis: Do Public Policy Responses Matter? The COVID-19 crisis has introduced unique tradeoffs between health and economic risk, leading to a “life vs. livelihoods conundrum.” This study contributes to research on adversity and entrepreneurship by examining the implications of the pandemic for gender differences in enterprise performance. We further consider how public policy responses in the domains of public health and economic support moderate the potential gendered effects of the pandemic. Data analysis of more than 20,000 enterprises across 38 countries shows that women-owned enterprises were more adversely affected by the pandemic, and that stronger public health policy responses helped reduce the observed gap in performance. | N/A | 2022 | CORD-19 | |
| 4246 | Meet Caregivers Where They Are: A Remote Intervention Connecting Caregivers to Community Resources Informal caregivers of people with Alzheimer’s disease and related dementias (ADRD) are a vulnerable, often isolated population with high rates of financial strain and need for community resource supports. Little is known about how best to connect these caregivers to resources, especially during the COVID-19 pandemic. CommunityRx-Caregiver is an evidence-based intervention that connects caregivers to community resources for basic needs, wellness, and caregiving. Using preliminary data from a randomized trial of CommunityRx-Caregiver (N=344), we examined caregivers’ baseline confidence in finding community resources and their engagement in the CommunityRx-Caregiver intervention. Caregivers enrolled December 2020-February 2021 (n=26) received (1) personalized lists of community resources via text message (HealtheRx), (2) access to an online resource portal (FindRx) and (3) automated texts offering support for finding resources. Most caregivers were female (65%), Black (92%), >60 years old (64%) and 44% reported very good or excellent health. Nearly half of caregivers (46%) were completely confident in finding community resources. Overall, 81% of caregivers engaged with a text message or the FindRx. Nearly two-thirds (65%) of caregivers responded to at least one text message. More than a quarter (27%) used the FindRx tool; 5/7 of those shared FindRx resources with others. Caregivers sought resources including in-home personal care, exercise classes and support groups. Caregivers of people with ADRD, many of whom had low confidence in finding resources, engaged with a multi-modal information technology-based intervention to obtain community resource support. These preliminary findings suggest caregivers were receptive to a remotely-delivered community referral intervention during the COVID-19 pandemic. | Innov Aging | 2021 | CORD-19 | |
| 4247 | Racial Differences in the Erosion of Psychological Resilience Following COVID-19 Related Financial Hardship Objectives: Research on the impact of COVID-19 among older adults has primarily focused on virus outcomes, but it is also possible the pandemic’s hardships have eroded the adaptive capacity of older adults. It is also likely these impacts vary by race and ethnicity. We examine changes in psychological resilience (PR) among older adults pre and post-pandemic to determine whether financial and social hardships have altered this resource for White, Black, and Hispanic older adults. Method: Using the COVID module recently released by the HRS (n=735), we examined changes in PR between 2016 and 2020 related to specific COVID experiences. We tested interactions to determine whether the effects of these experiences were conditioned by race and ethnicity. Results: Consistent with previous literature, resilience was relatively stable during this time on average. Financial hardship due to COVID-19 diminished resilience, but this effect was concentrated primarily among White Americans. PR was unchanged related to financial hardship among Black Americans. Discussion: The results suggest that PR is a relatively stable resource in later life, even during a pandemic. However, this resource may be impacted in the face of specific and especially new challenges in later life. Policies and interventions related to job loss and financial hardship during the pandemic should be seen as supporting the capacity for older adults to adapt to current as well as future challenges. | Innov Aging | 2021 | CORD-19 | |
| 4248 | Age and Gender Demographics Predict Compliance with COVID-19 Public Health Measures: Data from a Global Sample The COVID-19 global pandemic has brought far-reaching consequences on individual and societal levels. Social distancing and physical hygiene constitute effective public health measures to limit the spread of the virus. The current study investigates individual age and gender demographics, in interaction with a country’s human development index (HDI), as crucial factors influencing compliance with public health measures in a large multi-national adult lifespan sample. This report leverages data from a large-scale international collaboration (Van Bavel et al., 2020; https://psyarxiv.com/ydt95/) comprising 45,576 individuals from 66 countries/territories. Participants provided self-reports of their compliance/agreement with three public health measures (i.e., spatial distancing, physical hygiene, policy support). Older age, female gender, and lower HDI were independently associated with greater compliance with public health measures. In addition, a significant three-way interaction between participant age, participant gender, and a country’s HDI revealed that compliance was lowest in younger adults from well-developed countries, while compliance was highest among females across all ages from less-developed countries. Compliance with public health measures is crucial in effectively reducing coronavirus spread. Our findings suggest that age and gender as individual-level demographics, in tandem with HDI as a country-level predictor, affect individuals’ willingness to comply with public health measures. These results highlight the potential of data-driven, tailored (i.e., towards specific demographics) health campaigns and public policies in the fight against a global pandemic. | Innov Aging | 2021 | CORD-19 | |
| 4249 | Introduction to special issue on global populism and governance | N/A | 2022 | CORD-19 | |
| 4250 | Language of Religion, Religions as Languages. Introduction to the Special Issue 'Religions and Languages: A Polyphony of Faiths' Religions use linguistic and non-linguistic codes of meaning to express their contents: natural tongues, music, sculpture, poetry, rituals, practices... Also, religions provide the semantic context and the rules to produce, validate, and interpret their expressions: as such, religions can be considered languages. The Sophia Special Issue ‘Religions and Languages: A Polyphony of Faiths’ explores the multifaceted relationships of world religions with languages broadly construed, intended as other religious codes, natural tongues, artistic forms, digital media, and even science. Do natural languages modify themselves in order to convey a divine message? How do artistic means of expression accommodate religious contents? What are the aspects of interaction between religions, technological advances, and scientific methods? The five contributions in this issue offer innovative, compelling, and engaging perspectives regarding this complex and fascinating issue. | N/A | 2022 | CORD-19 |
(1) COVID-19 Open Research Dataset (CORD-19). 2020. Version 2022-06-02. Retrieved from https://ai2-semanticscholar-cord-19.s3-us-west-2.amazonaws.com/historical_releases.html. Accessed 2022-06-05. doi:10.5281/zenodo.3715506
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(3) Currently tweets of June 23rd to June 29th 2022 have been considered.