Silver Sneakers in Central PA: Assessment of a Community based Exercise Program in a Mixed Rural/Urban Catchment Area

Abstract Older cancer survivors present with unique challenges that may impact quality of life and increase physical dysfunction if not properly managed. Regular physical activity (PA) can help mitigate these effects. Silver Sneakers (SS), a free exercise program available to Medicare beneficiaries, has more than 16,000 US locations. To understand capacity of SS to serve older adults in our mixed rural/urban catchment area of Central Pennsylvania, we 1) identified all registered SS program locations in our 28-county catchment area and; 2) conducted phone questionnaires with SS program staff. Approximately 18 gyms closed during the pandemic, leaving a sample of 121 participating gyms. We talked to 80 gyms (66% response rate) to understand member and programming characteristics, training of staff and program marketing. Geographic locations of SS were mixed – 39% in rural and 61% in urban counties; the majority (43%) were located in private gyms or YMCAs. The majority of gyms reported membership was equally mixed by gender and described ages of members as 65-80 years (94%). Program staff said that many members exercised several times per week with friends/family. Program staff also reported that social opportunities (35%) were a primary reason participants remained active in SS. Most (89%) of the facilities were still able to offer SS during the pandemic, with the majority (60%) adapting format to Zoom and other video platforms to conduct classes. Overall, SS programs offer a sustainable option to facilitate access to exercise programs and reduce barriers to PA among older adults in our catchment area.

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Present Condition Analysis and Design of Sewer Collector Recovery

Pollack Periodica ◽

10.1556/606.2020.15.3.18 ◽

2020 ◽

Vol 15 (3) ◽

pp. 184-195

Author(s):

Réka Csicsaiová ◽

Ivana Marko ◽

Jaroslav Hrudka ◽

Ivona Škultétyová ◽

Štefan Stanko

Keyword(s):

Catchment Area ◽

Present Condition ◽

Urban Catchment ◽

Analysis And Design ◽

Current State ◽

Sewer Network

The aim of the study is to assess the hydraulic capacity of the sewer network and sewer collector recovery in the urban catchment area of Trnava.The analysis focuses on the evaluation of situations with different precipitation frequencies. Elaboration consists of modeling the current state of the assessed sewer collector B and subsequent loading of this collector by several block rainfalls. Based on the results of the analysis, the recovery of the sewer network proposed.

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The Development And Evaluation Of An Exercise Program To Increase Well-Being Of Older Adults

10.2986/tren.088-0135 ◽

2005 ◽

Author(s):

Malissa L. KRAFT

Keyword(s):

Older Adults ◽

Exercise Program ◽

Well Being

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First flush effects in an urban catchment area in Aalborg

Water Science & Technology ◽

10.2166/wst.1998.0060 ◽

1998 ◽

Vol 37 (1) ◽

pp. 251-257 ◽

Cited By ~ 20

Author(s):

Torben Larsen ◽

Kirsten Broch ◽

Margit Riis Andersen

Keyword(s):

Water Quality ◽

Catchment Area ◽

Quality Parameters ◽

Average Concentration ◽

First Flush ◽

Storm Events ◽

Urban Catchment ◽

Discharge Measurements ◽

Quality Measurements

The paper describes the results of measurements from a 2 year period on a 95 hectare urban catchment in Aalborg, Denmark. The results of the rain/discharge measurements include 160 storm events corresponding to an accumulated rain depth of totally 753 mm. The water quality measurements include 15 events with time series of concentration of SS, COD, BOD, total nitrogen and total phosphorus. The quality parameters showed significant first flush effects. The paper discusses whether either the event average concentration or the accumulated event mass is the most appropriate way to characterize the quality of the outflow.

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Innovative Approaches to Inclusive Design for Technology to Support Aging With Disability: Examples From TechSAge

Innovation in Aging ◽

10.1093/geroni/igaa057.2017 ◽

2020 ◽

Vol 4 (Supplement_1) ◽

pp. 599-599

Author(s):

Tracy Mitzner ◽

Anne Ordway

Keyword(s):

Older Adults ◽

Research And Development ◽

Health Management ◽

Exercise Program ◽

Target Population ◽

Interview Study ◽

Inclusive Design ◽

Adults With Disabilities ◽

Engineering Research ◽

Expert Interview

Abstract Technology research and development often exclude older adults with disabilities from participating in the design process. As a result, technologies may not be useful or usable by older adults with diverse abilities. This symposium, featuring projects at the TechSAge Rehabilitation Engineering Research Center, highlights ongoing efforts toward inclusive design, representing unique approaches to engage older adults with disabilities and their stakeholders in the research and development of technology supports. First, Mitzner et al., will describe the development of an online, group Tai Chi intervention, and the integral involvement of older adults with mobility disabilities, the exercise program developers, and technology partner in all steps of the process. Exploring the potential of voice-activated assistants, like Amazon Alexa, to support health management activities of older adults with mobility disabilities, Kadlyak et al. will present findings from a needs assessment of the target population and user testing in the lab and home environments. Koon et al. will present findings from a subject matter expert interview study with caregivers and medical professionals designed to identify the scope of activity challenges among people aging with long-term mobility and sensory disabilities that should be explored in more depth through our future interview study with the target population. Sanford et al., will describe a student design competition and hackathon that incorporates immersive experiences with people aging with disabilities to inspire innovative design concepts that respond to the needs of real people. NIDILRR Project Officer, Anne Ordway, will serve as the discussant.

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Nurse Practitioner’s Clinical Triggers for Referral to Other 3D Team Members

Innovation in Aging ◽

10.1093/geroni/igaa057.2680 ◽

2020 ◽

Vol 4 (Supplement_1) ◽

pp. 745-745

Author(s):

Shawn Ladda

Keyword(s):

Older Adults ◽

Community Health ◽

Nurse Practitioners ◽

Physical Therapists ◽

Exercise Program ◽

Health Educator ◽

Problem Solving Therapy ◽

Team Members ◽

Resource Information ◽

Registered Dietician

Abstract This presentation features how 3D Team nurse practitioners (NP) use results of clinical assessments to determine whether older adults and caregivers enrolled in the study are referred to other Team members; these assessment results are called “clinical triggers”. Other team members who receive referrals based on NP-generated clinical triggers include: Licensed Clinical Social Workers, who deliver Problem Solving Therapy to older adults with significant depressive symptoms; Occupational Therapists, who deliver an evidence-based dementia care intervention; Physical Therapists, who deliver an adapted Otago exercise program; Registered Dietician, who provides nutrition and dietary instruction; and Community Health Educator, who provides community resource information to address social determinants of health. All clinical triggers will be detailed in this presentation, along with a description of each intervention delivered by other team members except the Community Health Educator. Case studies will be presented to illustrate how study participants receive multiple interventions from the 3D Team.

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Medically Treated Opioid Overdoses Among the U.S. Elderly: Trends and Correlates

Innovation in Aging ◽

10.1093/geroni/igaa057.176 ◽

2020 ◽

Vol 4 (Supplement_1) ◽

pp. 54-54

Author(s):

Peter Treitler ◽

Stephen Crystal ◽

Richard Hermida ◽

Jennifer Miles

Keyword(s):

Older Adults ◽

Pain Management ◽

The Elderly ◽

Opioid Use Disorder ◽

Chronic Obstructive ◽

Medicare Beneficiaries ◽

Older Individuals ◽

Opioid Use ◽

Policy And Practice ◽

Obstructive Pulmonary Disease

Abstract High rates of opioid prescribing and comorbid medical conditions increase risk of overdose among older adults. As the US population ages and the rates of opioid use disorder (OUD) increase in the elderly population, there is a need to characterize trends and correlates of overdose in order to more effectively target policy and practice. Using a ~40% random sample of 2015-2017 Medicare beneficiaries ages 65 and older with Part D pharmacy coverage, this study examined medically treated opioid overdoses among US older adults. The sample included 13-14 million beneficiaries per year. The rate of medically treated opioid overdoses among elderly Medicare beneficiaries increased by 15% from 6 per 10,000 in 2015 to 6.9 per 10,000 in 2017. Those with overdose were disproportionately female (63%), non-Hispanic white (83%), with diagnoses of pain conditions (96%), with diagnoses of major depression (63%), and with high rates of conditions that decrease respiratory reserve such as chronic obstructive pulmonary disease. 13% had co-occurring diagnosed alcohol use disorder, 36% were diagnosed with opioid dependence or abuse, and 12% were diagnosed with hepatitis C. Older individuals with overdose represent a complex mix of risk factors; identifying those most at risk (as well as those who have very low risk, whose pain management may be compromised by overly-rigid interpretation of opioid use guidelines) is key in order to address multiple risks, balancing risk reduction with appropriate pain management.

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Obstructive Sleep Apnea Treatment and Dementia Risk in Older Adults

SLEEP ◽

10.1093/sleep/zsab076 ◽

2021 ◽

Author(s):

G L Dunietz ◽

R D Chervin ◽

J F Burke ◽

A S Conceicao ◽

T J Braley

Keyword(s):

Older Adults ◽

Statistical Significance ◽

Fee For Service ◽

Medicare Beneficiaries ◽

Lower Odds ◽

Logistic Regression Models ◽

Not Otherwise Specified ◽

Dementia Risk ◽

Obstructive Sleep ◽

Study Participants

Abstract Study Objectives To examine associations between PAP therapy, adherence and incident diagnoses of Alzheimer’s disease (AD), mild cognitive impairment (MCI), and dementia not-otherwise-specified (DNOS) in older adults. Methods This retrospective study utilized Medicare 5% fee-for-service claims data of 53,321 beneficiaries, aged 65+, with an OSA diagnosis prior to 2011. Study participants were evaluated using ICD-9 codes for neurocognitive syndromes [AD(n=1,057), DNOS(n=378), and MCI(n=443)] that were newly-identified between 2011-2013. PAP treatment was defined as presence of ≥1 durable medical equipment (HCPCS) code for PAP supplies. PAP adherence was defined as ≥2 HCPCS codes for PAP equipment, separated by≥1 month. Logistic regression models, adjusted for demographic and health characteristics, were used to estimate associations between PAP treatment or adherence and new AD, DNOS, and MCI diagnoses. Results In this sample of Medicare beneficiaries with OSA, 59% were men, 90% were non-Hispanic whites and 62% were younger than 75y. The majority (78%) of beneficiaries with OSA were prescribed PAP (treated), and 74% showed evidence of adherent PAP use. In adjusted models, PAP treatment was associated with lower odds of incident diagnoses of AD and DNOS (OR=0.78, 95% CI:0.69-0.89; and OR=0.69, 95% CI:0.55-0.85). Lower odds of MCI, approaching statistical significance, were also observed among PAP users (OR=0.82, 95% CI:0.66-1.02). PAP adherence was associated with lower odds of incident diagnoses of AD (OR=0.65, 95% CI:0.56-0.76). Conclusions PAP treatment and adherence are independently associated with lower odds of incident AD diagnoses in older adults. Results suggest that treatment of OSA may reduce risk of subsequent dementia.

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