IAGG 2017 World Congress For persons with dementia, especially those living in
highly-disadvantaged US areas, transitions from the acute care hospital to home are high-risk. Yet, few transitional care interventions are designed to be feasible and sustainable in these highly-disadvantaged US regions. The Coordinated-Transitional Care (C-TraC) program was designed spe-cifically to fill this gap, has decreased rehospitalizations in preliminary testing, and now is being rigorously assessed via a 5-year NIH-funded prospective randomized controlled trial for hospitalized patients with mild, moderate and severe dementia (and their carers) discharging to the community. The peri-discharge period is a challenging recruitment win-dow for this population, but, thus far, enrollment has been near-target with well over 125 patient-carer dyads rand-omized. In conducting this trial, person-centered approaches have been employed by all study personnel and have facili-tated subject participation and retention to the 90 day end-assessment time-point. Future prospective interventional trials in this population may benefit from employing similar techniques.
REDUCING RATES OF AVOIDABLE TRANSITIONS TO HOSPITAL FOR NURSING HOME RESIDENTS
M.G. Downs1, A. Blighe1, C. Powell1, A. Feast2, K. Froggatt3, B. McCormack4, E.L. Sampson2, 1. School of Dementia Studies, University of Bradford, Bradford, Yorkshire, United Kingdom, 2. University College London, London, United Kingdom, 3. Lancaster University, Lancaster, United Kingdom, 4. Queen Margaret University, Musselburgh, United Kingdom
Reducing transitions from nursing homes to hospitals for residents with Ambulatory Care Sensitive (ACS) conditions is a government priority in the UK. ACS conditions are those, which if not actively managed in the community, can lead to unplanned or avoidable hospital admissions. Early identifi-cation of changes in residents’ health is essential to ensure active management of ACS conditions in nursing homes. The purpose of this paper is to describe the development and fea-sibility testing of a multi-component, complex intervention for early detection of ACS conditions. Six key components were identified including: an adapted early warning tool; a care pathway for the 4 conditions; a knowledge and skills competency framework; structured communication tool for nurses and primary care; family involvement; and implemen-tation support. The feasibility of introducing and embedding this complex intervention and gathering data on outcomes was tested in 2 nursing homes. Findings have implications for policy, practice and research.
COMMUNICATION OF DEMENTIA SYMPTOMS AND CARE NEEDS DURING HOSPITAL TO NURSING FACILITY TRANSITIONS
A. Gilmore-Bykovskyi1, M. Hovanes1, R. Johnson3, A.J. Kind2,1, 1. University of Wisconsin-Madison, Madison, Wisconsin, 2. William S. Middleton Memorial Veterans Hospital, Madison, Wisconsin, 3. UC Berkley, Berkley, California
Transitions from hospitals-to-Skilled Nursing Facilities (SNFs) are frequently poorly in quality. SNF providers have identified under-communication of dementia-related symptoms and associated care needs as a major barrier to
facilitating safe, effective and person-centered transitions. The extent of discharge communication between hospitals and SNFs regarding these care needs has not been previously examined. This retrospective cohort study identified omis-sion rates for behavioral symptoms in hospital discharge communication as compared to medical record documenta-tion for stroke/hip fracture PwD discharged from one of two hospitals to a SNF (N=343) between 2003–2008. High rates of omission were found across all symptoms and care needs, anxiety (94%), agitation/aggression (79%), hallucinations (86%), need for 1:1 supervision (90%) and high fall risk (78%). Consistent with other research, these findings under-score the urgent need for additional research on the role of cross-setting communication for PwD—who often cannot communicate their care needs—in facilitating high quality, person-centered transitions.
SESSION 4665 (SYMPOSIUM)
SOCIAL JUSTICE AND AGING
Chair: J. Baars, University for Humanistic Studies, Netherlands
Social Justice refers to normative discussions (including their presuppositions, logical structures and practical out-comes) about issues that are crucially important for society and its institutions. In this symposium some issues will be discussed that are vital for the well being of older people. First, Joachim Duyndam will analyze the question whether there should be a United Nations Convention on the Rights of the Elderly, analogous to the 1989 UN Convention on the Rights of the Child. Next, Harry Moody will address the role of elders in the environmental challenges that are fac-ing the world population in connection with climate change, thus changing central terms of the debate about intergen-erational justice. Finally, Peter Derkx will discuss the ambi-tions of ‘Geroscience’ and inquire whether fighting obesity might not only be more efficacious in extending life span and health span, but also more ethically just than developing sophisticated and expensive technology to delay processes of senescence.
GENERATIONAL DIFFERENCES AND COMMUNICATIVE ETHICS
H.R. Moody, Fielding Graduate University, Santa Barbara, California
Gerontologists seem reluctant to discuss openly justice and intergenerational politics. In the case of Brexit vote, as well as in the U.S. Presidential election of 2016, there were substantial differences in political behavior based on age. In both cases, older people commonly felt “this is no longer my country” and were supportive of right-wing political views hostile to immigration and globalization. By contrast, aca-demics, in both the USA and other countries, tend toward progressive or left-wing political outlook favorable toward multiculturalism and globalization. Although recognized this disparity in political outlook is almost never openly discussed in gerontology. In this session, we look at specific policy challenges related to social justice, including immigra-tion, climate change, and public pension programs. Instead of silence about political differences across age-groups, we Innovation in Aging, 2017, Vol. 1, No. S1
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IAGG 2017 World Congress
adopt the communicative ethics of Jürgen Habermas with the aim of promoting intergenerational solidarity by more open discussion of challenges affecting us all.
SOCIAL JUSTICE AND EXTENDING HEALTH SPAN: GEROSCIENCE OR FIGHTING OBESITY?
P. Derkx, University of Humanistic Studies, Geldermalsen, Netherlands
Before 1995 biogerontology came down to description of specific age-associated diseases. The last twenty-five years biomedical gerontology has started to aim at explanation of underlying processes of senescence and at (genetic, dietary, and pharmacologic) interventions and technology to delay those processes. ‘Geroscientists’ such as Brian Kennedy and Felipe Sierra have been writing about the ‘Prospects for Life Span Extension’ and have argued that ‘it is critical to expand geroscience research directed at extending human healthspan’. They pay attention to social effects that might occur, but issues of social justice are mostly ignored. In this paper an ethical-philosophical argument is developed. It makes plausible that fighting obesity might be more efficacious in extending life span and health span and also more ethically just than developing sophisticated and expensive technology to delay processes of senescence. It is not a matter of one or the other, but priorities should be debated.
SESSION 4670 (SYMPOSIUM)
NEW METHODS FOR STUDYING AGING AND SOCIOEMOTIONAL PERCEPTION
Chair: D.M. Isaacowitz, Northeastern University, Boston, Massachusetts
Co-Chair: U. Kunzmann, Leipzig University
Discussant: J.T. Stanley, University of Akron, Akron, Ohio A large body of research has investigated age differences in the ability to accurately perceive emotional expressions on faces. This work has generally found consistent age-related declines in such emotion perception abilities, though it has been limited by the particular paradigm most commonly used: a par-ticipant sits in front of a computer and makes judgments about the emotion expressed on a static face. This session highlights cutting-edge methods that bring the study of aging and emotion perception into more everyday, ecological contexts. Moving away from making simple judgments about a static face may allow older adults to display more of their experience not only in making accurate emotion assessments, but also in social judgments more broadly. Talks in the session will consider to what extent computer-based emotion perception tasks lead to similar conclusions as in-person assessments about other indi-viduals (Vicaria), the nature of more complex socioemotional judgments like personality and rapport (Castro), the cues that lead to empathic accuracy (Wieck), and the nature of emotion-oriented perception in the context of emotion regulation in couples (Rohr). Together, these talks highlight methods that can be used to give a more ecological perspective on the types of socioemotional judgments typically made by older adults, and when they are (and are not) accurate.
AGE-BASED PERFORMANCE DIFFERENCES IN THREE INTERPERSONAL JUDGMENT TASKS I. Vicaria, D.M. Isaacowitz, Psychology, Northeastern University, Boston, Massachusetts
Older adults have traditionally performed poorly on com-puter-based assessments of emotion perception skills. However, they report experiencing emotionally satisfying relationships in real life. The current study assesses the difference between computer and interaction-based interpersonal judgments in younger and older adults. Participants complete a computer-based emotion perception task, then interact with someone of their age or the opposite age group for 20 minutes. Afterwards they judge their partner’s personality traits and ratings of rap-port, which are later correlated with partners’ self reports to obtain accuracy scores. Analyses of 19 younger and 37 older adults revealed that older adults’ accuracy on the computer-based tasks was significantly poorer (p <.001) than younger adults’, but their performance on the interaction-based judg-ments was as good (rapport; n.s.) or even better (personality traits; p<.05) than younger adults’. The interaction-based judg-ments better approximate real life judgjudg-ments and may draw on experience obtained with age.
AGE DIFFERENCES AND SIMILARITIES IN
PERCEPTIONS OF PERSONALITY AND RAPPORT IN DYADS
V. Castro, I. Vicaria, D.M. Isaacowitz, Psychology, Northeastern University, Boston, Massachusetts
This study examined young, middle-age, and older adults’ accuracy in perceiving personality and rapport in young and old dyads. Participants were presented with twelve vid-eos depicting two young adults or two old adults interact-ing. Perceivers were randomly assigned to one target within each dyad and asked to judge the target person’s personality traits and level of rapport. Videos varied in length (i.e., 10 secs, 20 secs, 20 secs) and location (i.e., second vs. third min-ute of the interaction). Results were mixed: age differences were found for the perception of some social qualities (e.g., agreeableness, satisfaction) but not others (e.g., extraversion, openness, conscientiousness, rapport). Accuracy was higher for shorter videos and videos from earlier rather than later portions of the interaction. These findings augment recent studies on social perception and aging to consider the myr-iad aspects of the perceptual process that may contribute to social perception accuracy across the lifespan.
AGE DIFFERENCES IN EMPATHIC ACCURACY: A BRUNSWIKIAN APPROACH
C. Wieck, S. Nestler, U. Kunzmann, University of Leipzig, Leipzig, Germany
Previous research has shown that older adults perform worse than younger adults at recognizing others’ emotions accurately. The goal of the present study was to better understand the processes underlying these age-related differences in empathic accuracy. Applying a Brunswikian approach, we tested age differences in the utilization of multiple facial, prosodic and semantic cues selected to reflect three emotions: anger, sadness, and happiness as experienced and expressed by twelve targets who were videotaped while they relived an emotional memory. Facial, prosodic and semantic cues were measured objectively
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Volume 1, July 2017 “Global Aging and Health:
Bridging Science, Policy, and Practice”
Program Abstracts from the 21st International
Association of Gerontology and Geriatrics
(IAGG) World Congress
INNOVATION
IN AGING
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An Open Access Journal of
The Gerontological Society of America
ISSN 2399-5300
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Vol. 1
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No. S1
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July 2017
INNO
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Laura P. Sands, PhD, Editor-in-Chief*
Virginia Tech E-mail: lsands@vt.edu
Steven M. Albert, PhD, Deputy Editor-in-Chief* University of Pittsburgh
J. Jill Suitor, PhD, Deputy Editor-in-Chief* Purdue University
Anne Collins McLaughlin, PhD, Associate Editor, Technology North Carolina State University
Alison Phinney, PhD, RN, Associate Editor, Qualitative* University of British Columbia
Megan McCutcheon, MA Associate Director of Publications
Karen J. Jung, MSW Managing Editor
The Gerontological Society of America E-mail: ia@geron.org
Corinne Reczek, PhD, Associate Editor, Relationships & Well-being
The Ohio State University
J. Tina Savla, PhD, Associate Editor, Methodology* Virginia Tech
Roland J. Thorpe, Jr., PhD, Associate Editor, Minority Health/Health Disparities
Johns Hopkins Bloomberg School of Public Health
INNOVATION IN AGING
An Open Access Journal of The Gerontological Society of America
Debra Bakerjian, MSN, PhD, RN*
University of California, Davis, Betty Irene Moore School of
Nursing Anthony Bardo, PhD Duke University J. Scott Brown, PhD* Miami University Melissa Cannon, PhD University of Western Oregon
Deborah Carr, PhD* Boston University
Rafael de Cabo, PhD National Institute on Aging Tamas Fulop, MD, PhD* Université de Sherbrooke, Quebec, Canada Victoria Gibbs, PhD University of Alabama at Birmingham Judith L. Howe, PhD, DSW* Mount Sinai School of Medicine Robert B. Hudson, PhD*
Boston University Bob G. Knight, PhD* University of Southern Queensland,
Australia
Tony Kuo, MD, MSHS University of California,
Los Angeles
Anne B. Newman, MD, MPH* University of Pittsburgh Center for
Healthy Aging
Kelly Niles-Yokum, PhD, MPA University of La Verne Steven J. Prior, PhD University of Maryland School of
Medicine
Rachel A. Pruchno, PhD* Rowan University Miriam S. Rose, MeD Benjamin Rose Institute on Aging
Laura P. Sands, PhD* Virginia Polytechnic Institute and
State University Gregory C. Smith, PhD*
Kent State University Panayiotis Tsitouras, MD*
University of Oklahoma
PUBLICATIONS COMMITTEE
Noah J. Webster, PhD, Chair University of Michigan
Margie E. Lachman, PhD, Chair-Elect* Brandeis University
ADVISORY BOARD
Toni C. Antonucci, PhD* University of Michigan Kenneth Covinsky, MD University of California, San Francisco
Kenneth F. Ferraro, PhD* Purdue University Karl Pillemer, PhD*
Cornell University
Wendy A. Rogers, PhD* University of Illinois Urbana-Champaign
INSTRUCTIONS TO AUTHORS: Refer to the Instructions to Authors page online: www.geron.org/innovateage
OUP PRODUCTION DEPARTMENT
Adrianne Loggins, Senior Production Editor *Fellow of The Gerontological Society of America.
Steven M. Albert, PhD
University of Pittsburgh
Rebecca S. Allen, PhD
The University of Alabama
Jacqueline L. Angel, PhD
The University of Texas at Austin
Tamara A. Baker, PhD
University of South Florida
Daniel Béland
Johnson-Shoyama Graduate School of Public Policy
Jennifer Bellot, PhD, RN, MHSA
Thomas Jefferson University
Mercedes Bern-Klug, PhD, MSW
The University of Iowa
Richard Birkel, PhD
National Council on Aging
Christine E. Bishop, PhD
Brandeis University
Jamila Bookwala, PhD
Lafayette College
Hayden Bosworth, PhD
Durham VA Medical Center and Duke University Medical Center
Barbara J. Bowers, PhD, RN, FAAN
University of Wisconsin-Madison
Margaret P. Calkins, PhD
IDEAS Consulting Inc.
Francis Caro, PhD
University of Massachusetts Boston
Nicholas G. Castle, PhD
University of Pittsburgh
Barbara B. Cochrane, PhD, RN, FAAN
University of Washington
Constance L. Coogle, PhD
Virginia Commonwealth University
Teresa Cooney, PhD
University of Missouri
Katrina Cubit, PhD
Australian Nursing & Midwifery Accreditation Council
Sara J. Czaja PhD
University of Miami Miller School of Medicine
Jeanette M. Daly, RN, PhD
The University of Iowa
Kara Bottiggi Dassel, PhD
Arizona Association of AAAs
Adam Davey, PhD Temple University Howard B. Degenholtz, PhD University of Pittsburgh David J. Ekerdt, PhD University of Kansas
Connie Evashwick, PhD, ScD, FACHE
Saint Louis University
Richard H. Fortinsky, PhD
University of Connecticut Health Center
Lisa Fredman, PhD
Boston University
Helene H. Fung, PhD
Chinese University of Hong Kong
Joseph E. Gaugler, PhD
University of Minnesota
Laura N. Gitlin, PhD
Johns Hopkins University
Kathy E. Green, PhD
University of Denver
R. Turner Goins, PhD
West Virginia University
Leslie K. Hasche, PhD, MSW
University of Denver
William E. Haley, PhD
University of South Florida
Jon Hendricks, PhD
Oregon State University
Pamela Herd, PhD
University of Wisconsin
Robert B. Hudson, PhD
Boston University
Kathryn Hyer, PhD, MPP
University of South Florida
Marshall B. Kapp, JD, MPH
Florida State University
Brian Kaskie, PhD
University of Iowa
Nancy Kelley-Gillespie, PhD
University of Nebraska at Omaha
Mary Ann Kluge, PhD
University of Colorado, Colorado Springs
Peter A. Lichtenberg, PhD, ABPP
Wayne State University
Phoebe S. Liebig, PhD
University of Southern California
Rebecca G. Logsdon, PhD
University of Washington
Ronald J. Manheimer, PhD
The Manheimer Group
Graham J. McDougall Jr., PhD, RN, FAAN, FGSA
The University of Texas at Austin
Lisa C. McGuire, PhD
Center for Disease Control and Prevention Kate de Medeiros, PhD Miami University Suzanne Meeks, PhD University of Louisville Claudia Meyer, MPH
National Ageing Research Institute
Edward Alan Miller, PhD, MPA
University of Massachusetts Boston
Nancy Morrow-Howell, PhD, MSW, ACSW
Washington University in St. Louis
Naoko Muramatsu, PhD, MHSA
University of Illinois at Chicago
Linda S. Noelker, PhD
Benjamin Rose Institute on Aging
Frank Oswald, PhD
Goethe University Frankfurt
Patricia A. Parmelee, PhD
The University of Alabama
Julie Hicks Patrick, PhD
West Virginia University
Loretta Pecchioni, PhD
Louisiana State University
Nancy J. Petersen, PhD
Department of Veterans Affairs Medical Center, Houston
Carl F. Pieper, DrPH
Duke University Medical Center
Larry Polivka, PhD
Claude Pepper Center
Thomas R. Prohaska, PhD
University of Illinois at Chicago
Jill Quadagno, PhD
The Florida State University
Anna Rahman, PhD
University of Southern California
Ruth E. Ray, PhD
Wayne State University
Virginia E. Richardson, PhD, MSW
The Ohio State University
Sara E. Rix, PhD
AARP Public Policy Institute
Karen A. Roberto, PhD
Virginia Polytechnic Institute and State University
Miriam S. Rose, MEd
Benjamin Rose Institute on Aging
Michael J. Rovine, PhD
Pennsylvania State University
Laura P. Sands, PhD
Purdue University
Andrew Scharlach, PhD
University of California- Berkeley
Rick J. Scheidt, PhD
Kansas State University
Richard Schulz, PhD University of Pittsbugh Debra Sheets, PhD, MSN, RN University of Victoria A. Lynn Snow, PhD University of Alabama Avron Spiro, PhD
VA Boston Healthcare System and Boston University Medical Center
Maximiliane E. Szinovacz, PhD
University of Massachusetts-Boston
Jeanne A. Teresi, EdD, PhD
Columbia University and Research Division, Hebrew Home, Riverdale
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University of North Carolina at Charlotte
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Terra Nova Films
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University of Heidelberg
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Queens College and The Graduate Center - City University of New York
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Virginia Commonwealth University
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Temple University
EDITORIAL BOARD
THE GERONTOLOGIST
A Journal of The Gerontological Society of America
Katherine Abbott, PhD* Miami University Kathleen Abrahamson, RN, PhD* Purdue University Tamara A. Baker, PhD University of Kansas Scott R. Beach, PhD* University of Pittsburgh Sara J. Czaja, PhD* University of Miami Adam Davey, PhD*
University of Delaware, Newark
Nancy R. Gee, PhD
SUNY, Fredonia
Megan Gilligan, PhD
Iowa State University
Mary Ann Johnson, PhD
The University of Georgia
Yoshinori Kamo, PhD
Louisiana State University
Giyeon Kim, PhD University of Alabama Min-Ah Lee, PhD Chung-Ang University David A. Nace, MD, MPH University of Pittsburgh Marcia Ory, PhD* Texas A&M Karen A. Roberto, PhD*
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Richard Winett, PhD
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Jeremy B. Yorgasson, PhD
Brigham Young University
Anna Zajacova, PhD*
Western University
*Fellow of The Gerontological Society of America
