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  • 1
    Online Resource
    Online Resource
    Oxford University Press (OUP) ; 2021
    In:  Innovation in Aging Vol. 5, No. Supplement_1 ( 2021-12-17), p. 265-265
    In: Innovation in Aging, Oxford University Press (OUP), Vol. 5, No. Supplement_1 ( 2021-12-17), p. 265-265
    Abstract: Results from a June 2020 survey on comfort with two forms of artificial companion (AC) robots in normal compared with pandemic times will be presented. 1,082 adults age 21-92 (mean 64) completed the online survey for a response rate of 45%. Significantly greater comfort is reported with small AC robots relative to larger human-shaped robots in both normal and pandemic times. In bivariate and adjusted models, younger age and male gender were most commonly associated with greater comfort with AC robots. Most participants (68.7%) did not think an AC robot would make them feel less lonely. About half (52.8 %) of the participants reported that they probably or definitely would want their facial expressions to be read, while a minority (15.0%) were at least somewhat comfortable with AC robots recording their conversations. The most common person participants wanted these data types shared with is themselves, a spouse/partner, and medical provider.
    Type of Medium: Online Resource
    ISSN: 2399-5300
    Language: English
    Publisher: Oxford University Press (OUP)
    Publication Date: 2021
    detail.hit.zdb_id: 2905697-4
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  • 2
    Online Resource
    Online Resource
    Oxford University Press (OUP) ; 2021
    In:  Innovation in Aging Vol. 5, No. Supplement_1 ( 2021-12-17), p. 1005-1006
    In: Innovation in Aging, Oxford University Press (OUP), Vol. 5, No. Supplement_1 ( 2021-12-17), p. 1005-1006
    Abstract: The COVID-19 pandemic has greatly impacted the economic security of millions of older adults. Job loss and reductions in personal income were significant in 2020 stemming from pandemic-induced shutdowns that temporarily closed large swaths of the U.S. economy. Yet, the specific financial impacts of the pandemic on older adults, including family care partners, are not well understood. To understand the COVID-19 pandemic’s effects on the health and financial well-being of older adults, we gathered data from the Research via Internet of Technology and Experience (RITE) Study, a longitudinal survey panel providing data from thousands of participants of various ages and backgrounds in the U.S. on their use of healthcare and technology (N=1,365). We measured by population strata including age, sex, and education and other characteristics including caregiver status. Adults between 20-40 years of age experienced the highest rate of job loss and reduction in wages (33%) as a result of the pandemic, while adults aged & gt;70 years experienced the lowest rate (12.5%). However, adults aged 50-60 and 60-70 also experienced relatively high levels of job loss at (28.4% and 25.7%, respectively). Behavior changes and disruptions to typical routines to avoid COVID-19 infections may have contributed to job and personal income loss amongst Individuals aged 50-60 and 60-70. However, these findings suggest potentially high levels of economic insecurity amongst individuals who continue to work into late-life. These results may help policymakers understand how to better tailor interventions and policies to mitigate economic insecurity, particularly for populations disproportionately impacted by the pandemic.
    Type of Medium: Online Resource
    ISSN: 2399-5300
    Language: English
    Publisher: Oxford University Press (OUP)
    Publication Date: 2021
    detail.hit.zdb_id: 2905697-4
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  • 3
    Online Resource
    Online Resource
    Oxford University Press (OUP) ; 2022
    In:  Innovation in Aging Vol. 6, No. Supplement_1 ( 2022-12-20), p. 779-779
    In: Innovation in Aging, Oxford University Press (OUP), Vol. 6, No. Supplement_1 ( 2022-12-20), p. 779-779
    Abstract: Many people living with Alzheimer’s disease and related dementias (ADRD) never receive a formal disease diagnosis. This compromises wellbeing and increases health services utilization and care costs. Wider screening and assessment for ADRD may increase access to supportive care, improve allocation of medical care, and foster interventions that prevent or delay disease progression. A sample of Medicare-enrolled individuals 65+ (n=60) consecutively presenting to the Oregon Health & Science University (OHSU) emergency department (ED) in Portland, Oregon consented to the study and were administered the TICS, a validated tool for telephone-based assessments of cognition, post-discharge from the ED. Study participants were asked about their physical health via the modified Cumulative Illness Rating Scale (M-CIRS), and their cognitive health via the PROMIS Cognitive Measure Questions on Mental Clarity. Care utilization patterns were measured via review of participants’ electronic health records (EHR) for three years prior to study enrollment focusing on total hospitalizations, ED visits, and primary care (PC) visits.Medicare-enrolled adults 65+ recently discharged from the ED were a feasible population to perform a cognitive assessment. The study enrollment rate was 24.2% (n=60). Enrollment was limited to patients with their PC affiliated with the OHSU health system, which excluded the majority (792, 73.8%) of ED patients Medicare-enrolled, 65+ from our study (1,072). This study provides preliminary evidence to support focusing on older ED patients to administer cognitive assessments, linking outcomes to the EHR, and ultimately providing a platform for future research on impacts of under-diagnosed ADRD on population-level health outcomes and care utilization.
    Type of Medium: Online Resource
    ISSN: 2399-5300
    Language: English
    Publisher: Oxford University Press (OUP)
    Publication Date: 2022
    detail.hit.zdb_id: 2905697-4
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  • 4
    In: Journal of Advanced Nursing, Wiley, Vol. 77, No. 10 ( 2021-10), p. 4254-4267
    Abstract: We aim to establish the feasibility and acceptability of the Tele‐STELLA ( S upport via Te lehealth: L iving and L earning with A dvancing Alzheimer's Disease and Related Dementias) intervention. We will also assess the efficacy of the intervention in reducing the frequency of behavioural symptoms of dementia as well as family Care Partner reactivity to the symptoms. Design This is a multi‐component, quasi‐experimental study that focuses on facilitating effective management of behavioural symptoms that occur in the later stages of dementia. Methods Family Care Partners ( n  = 124) for persons with Alzheimer's disease will participate in two 8‐week videoconferencing components that address behavioural symptoms—in both the persons with Alzheimer's disease and their Care Partners. In the first component (‘Nova’), Care Partners work with one nurse for an hour/week for 4 weeks, then they join a small group for another 4 weeks. In the second component (‘Constellation’), Care Partners work in a larger group to hone skills and knit supportive relationships. Behavioural symptom frequency and Care Partner reactivity to the behaviours will be measured prior to, during and after the intervention. The study is funded by the United States National Institute on Aging (R01AG067546) ; funding was initiated as on February, 2021. Discussion Tele‐STELLA fills a gap in current videoconference‐based psychoeducational interventions in that it offers real‐time interaction with nurses and peers. The intervention was designed with feedback by pilot participants. This study will assess Tele‐STELLA in its current, novel format; thus, preparing it for a larger, future randomized controlled trial. Impact Tele‐STELLA addresses symptoms that occur in the later stages of dementia, providing families with tools to facilitate effective behavioural management. Because Tele‐STELLA is implemented via videoconferencing, it targets Care Partners who face barriers to support, such as cost and transportation. Trial Registration This trial is registered with ClinicalTrials.gov (#NCT04627662).
    Type of Medium: Online Resource
    ISSN: 0309-2402 , 1365-2648
    URL: Issue
    Language: English
    Publisher: Wiley
    Publication Date: 2021
    detail.hit.zdb_id: 2009963-0
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  • 5
    In: Alzheimer's & Dementia, Wiley, Vol. 19, No. S5 ( 2023-06)
    Abstract: Many barriers discourage individuals from enrolling in dementia research studies, such as lack of information, web accessibility, and transportation. Research stakeholder feedback is necessary to understand these barriers. We used virtual focus groups to learn how to improve the website of our local research registry: ACTNOW (Alzheimer’s Comprehensive Treatment Network of Oregon and Washington). Local community members from diverse backgrounds interacted with the study team to provide insight on some of the roadblocks to research participation. Here, we report on findings from the focus groups and participants’ feedback related to the ACTNOW website and user engagement. Method Three 90‐minute virtual focus groups (fg) were conducted with 19 participants via videoconferencing. Inclusion criteria were ACTNOW members, African American, and low‐income and rural‐dwelling individuals combined respectively. Participants completed pre‐and post‐focus group surveys about their thoughts on the ACTNOW website and interest in dementia research. Investigators from the research team analyzed the survey data and independently coded the written transcripts from the group discussions using the Dedoose coding software. Result There were 19 participants overall (fg_1 = 8, fg_2 = 5, fg_3 = 6). The mean age was 66.9; 89.5% of the sample was female; and 57.9% were white. The analysis revealed that the participants had concerns about the readability of the website and the clarity of purpose of ACTNOW (e.g., “I look at this, and I say, whoa, wait a minute they want me to sign up for what?”). Most of the topics discussed suggested consumers did not understand the purpose of the website or ACTNOW’s promotional materials, resulting in a fear of signing up for the actual program (research registry). Survey data reported a large interest in dementia research but a need for more consumable, relevant information, such as explaining the benefits of research and requirements of being an ACTNOW member. Conclusion Findings demonstrate specific website usability challenges and reasons that prevent community members from signing up for dementia research. Understanding the focus group participants’ feedback is important in fostering greater diversity, appeal, and accessibility in dementia research.
    Type of Medium: Online Resource
    ISSN: 1552-5260 , 1552-5279
    URL: Issue
    Language: English
    Publisher: Wiley
    Publication Date: 2023
    detail.hit.zdb_id: 2201940-6
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  • 6
    In: Alzheimer's & Dementia, Wiley, Vol. 17, No. S11 ( 2021-12)
    Abstract: Shifting and diminished circadian and activity rhythms characterize older adults with cognitive impairment, but studies rarely consider both temporal and spatial aspects of life activity patterns. We examined hourly in‐home and out‐of‐home activity patterns using latent group trajectory models to characterize older adults with and without mild cognitive impairment (MCI). Method One hundred and seven older adults (19 with MCI) living alone (age=81.1±7.8, 76.6% women) from the Oregon Center for Aging & Technology (ORCATECH) were included. MCI was determined by the Clinical Dementia Rating (CDR) score = 0.5. In‐home and out‐of‐home activities were collected via passive infrared motion sensors in each room and contact sensors on the doors to the home for one month. Daily life activity patterns were estimated based on: 1) the hourly average amount of time the participant spent in each major life space (bathroom; bedroom; kitchen; living room) and out‐of‐home, and 2) the hourly average number of trips the participant made to each room and out‐of‐home. Result Latent trajectory models identified two distinct patterns for three features: time spent out‐of‐home (high/low outdoor), time spent in the kitchen (high/low kitchen occupancy), and trips to the bathroom (more/fewer bathroom trips) from 5 am to 1 pm. Older adults with MCI were more likely to follow a pattern of low outdoor time ( β =‐2.65; p =0.03), high kitchen occupancy ( β =1.68; p=0.01), and more bathroom trips ( β =1.60; p =0.02) than those with intact cognition. There were no differences in the bedroom patterns or time spent in the bathroom in older adults with and without MCI from 5 am to 1 pm. Potential covariates were controlled in the models (age, gender, years of education, sleep duration, gait speed, and the number of rooms in the house). Conclusion Different social and mealtime activity patterns from early morning to early afternoon may signal cognitive changes and contraction of life‐space. These may be caused by environmental, as well as chronobiological changes accompanying MCI. Unobtrusive measurement of in‐home and out‐of‐home activity patterns may be useful for integrating with chronotherapies in developing strategies to mitigate potential daily mal‐entrainment for older adults at risk for MCI and dementia.
    Type of Medium: Online Resource
    ISSN: 1552-5260 , 1552-5279
    URL: Issue
    Language: English
    Publisher: Wiley
    Publication Date: 2021
    detail.hit.zdb_id: 2201940-6
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  • 7
    Online Resource
    Online Resource
    Oxford University Press (OUP) ; 2014
    In:  Social Cognitive and Affective Neuroscience Vol. 9, No. 7 ( 2014-07-01), p. 895-899
    In: Social Cognitive and Affective Neuroscience, Oxford University Press (OUP), Vol. 9, No. 7 ( 2014-07-01), p. 895-899
    Type of Medium: Online Resource
    ISSN: 1749-5024 , 1749-5016
    Language: English
    Publisher: Oxford University Press (OUP)
    Publication Date: 2014
    detail.hit.zdb_id: 2236933-8
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  • 8
    In: Frontiers in Digital Health, Frontiers Media SA, Vol. 3 ( 2021-10-26)
    Abstract: Background: Older adults spend a considerable amount of time inside their residences; however, most research investigates out-of-home mobility and its health correlates. We measured indoor mobility using room-to-room transitions, tested their psychometric properties, and correlated indoor mobility with cognitive and functional status. Materials and Methods: Community-dwelling older adults living alone ( n = 139; age = 78.1 ± 8.6 years) from the Oregon Center for Aging & amp; Technology (ORCATECH) and Minority Aging Research Study (MARS) were included in the study. Two indoor mobility features were developed using non-parametric parameters (frequency; stability): Indoor mobility frequency (room-to-room transitions/day) was detected using passive infrared (PIR) motion sensors fixed on the walls in four geographic locations (bathroom; bedroom; kitchen; living room) and using door contact sensors attached to the egress door in the entrance. Indoor mobility stability was estimated by variances of number of room-to-room transitions over a week. Test-retest reliability (Intra-class coefficient, ICC) and the minimal clinically important difference (MCID) defined as the standard error of measurement (SEM) were generated. Generalized estimating equations models related mobility features with mild cognitive impairment (MCI) and functional status (gait speed). Results: An average of 206 days (±127) of sensor data were analyzed per individual. Indoor mobility frequency and stability showed good to excellent test-retest reliability (ICCs = 0.91[0.88–0.94]; 0.59[0.48–0.70] ). The MCIDs of mobility frequency and mobility stability were 18 and 0.09, respectively. On average, a higher indoor mobility frequency was associated with faster gait speed (β = 0.53, p = 0.04), suggesting an increase of 5.3 room-to-room transitions per day was associated with an increase of 10 cm/s gait speed. A decrease in mobility stability was associated with MCI (β = −0.04, p = 0.03). Discussion: Mobility frequency and stability in the home are clinically meaningful and reliable features. Pervasive-sensing systems deployed in homes can objectively reveal cognitive and functional status in older adults who live alone.
    Type of Medium: Online Resource
    ISSN: 2673-253X
    Language: Unknown
    Publisher: Frontiers Media SA
    Publication Date: 2021
    detail.hit.zdb_id: 3017798-4
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  • 9
    Online Resource
    Online Resource
    Oxford University Press (OUP) ; 2021
    In:  Innovation in Aging Vol. 5, No. Supplement_1 ( 2021-12-17), p. 994-994
    In: Innovation in Aging, Oxford University Press (OUP), Vol. 5, No. Supplement_1 ( 2021-12-17), p. 994-994
    Abstract: Subjective assessments of dementia caregiver burden are vulnerable to recall and recency biases. Objective continuous home assessment using passive technologies (e.g., bed mats, actigraphy watches) can provide ecologically valid detail on caregiver stress and family function. We tested the utility of objective assessment of activity before, during and after the behavioral intervention of STELLA (Support via Technology: Living and Learning with Advancing AD) which facilitates effective online management of behavioral symptoms of dementia. We present preliminary data on objective measures of sleep and step counts, and subjective measures of burden. We captured data from three caregivers caring for a family member with dementia. Each family lives in home with unobtrusive monitoring devices that recorded data on sleep (Emfit sleep mat) and daily steps (Withings watch). Self-report assessments of burden, depression and grief were collected prior to and after the 2-month intervention. Objective data was collected continuously. Pre/post subjective assessments suggest that the STELLA intervention has the potential to reduce behavioral symptom frequency and caregiver reactivity to symptoms (pre-STELLA behavior frequency=44.9, post=39.2; pre-STELLA reactivity=50.5; post=38.5). Step count ranged from 775 steps/day to 5065, with each participant trending fewer steps during the intervention. Mean sleep time ranged from 6.3 to 8.6 hours and didn’t change during the intervention. The small sample size limits interpretation but provides evidence that it is feasible to collect continuous objective life-activity data during caregiver interventions. This digital data has the potential to inform the validity of subjective findings by limiting recall and recency biases.
    Type of Medium: Online Resource
    ISSN: 2399-5300
    Language: English
    Publisher: Oxford University Press (OUP)
    Publication Date: 2021
    detail.hit.zdb_id: 2905697-4
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  • 10
    In: Aging & Mental Health, Informa UK Limited, Vol. 27, No. 10 ( 2023-10-03), p. 2000-2010
    Type of Medium: Online Resource
    ISSN: 1360-7863 , 1364-6915
    Language: English
    Publisher: Informa UK Limited
    Publication Date: 2023
    detail.hit.zdb_id: 2003078-2
    SSG: 5,2
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