THE IMPACT OF TECHNOLOGY USE ON CUSTODIAL GRANDPARENTS’ DEPRESSION

Abstract During COVID-19, custodial grandparents experienced symptoms of depression due to social isolation, and technology use may reduce depression. This study examines the association between level of comfort of using technology and depression among custodial grandparents. Cross-sectional survey data (N = 287) were collected via multiple sources, including state agencies, local non-profit organizations serving kinship families, foster parent associations, schools, and Qualtrics Panels between March 2021 and March 2022. The average age of grandparents was 55 years. Over half were female (71.43%), had some college education (68.75%), and were White (55.12%). Depression was measured using the CES-D 10 scale. This variable was dummy coded using 8 as the cutoff score (Andresen et al., 1994). The level of comfort using technology was measured by combining four survey questions. Grandparent age, race, gender, marital status, home ownership, geographic area, disability, employment, education, physical health, telehealth, and telemental health were controlled. The logistic regression model revealed that those who had a higher comfort level with technology had significantly lower odds of having depression (OR = .543, p = < .001). Those with physical health had significantly lower odds of having depression (OR = .727, p = .044). Grandparents who needed telehealth (OR = 2.81, p =.005) and telemental health services (OR = 2.93, p =.003) had significantly higher odds of having depression. This research implies that custodial grandparents’ use of technology, particularly their comfort levels with technology may reduce depression among grandparents. This will inform practice and policy for those who work with custodial grandparents.

having primary healthcare, and also less likely with low-vshigh income ). Risk factors differ by FRID definition, with Steadi-Rx identifying more predictors than the Swedish definition.

BURDEN OF FALL-RISK INCREASING DRUGS IN OLDER ADULTS PRESENTING WITH FALLS TO THE EMERGENCY ROOM
Martin Casey, 1 Joshua Niznik, 1 Greta Anton, 2 Michelle Meyer, 1 Casey Kelley, 3 Jan Busby-Whitehead, 1 Kathleen Davenport, 4 and Ellen Roberts 1 , 1. University of North Carolina at Chapel Hill,Chapel Hill,North Carolina,United States,2. University of North Carolina Medical Center,Chapel Hill,North Carolina,United States,3. Unicersity of North Carolina at Chapel Hill,Chapel Hill,North Carolina,United States,4. Univerisity of North Carolina at Chapel Hill,Chapel Hill,North Carolina,United States Prescribing of fall-risk increasing drugs (FRIDs) may be an important driver of falls in older adults. Understanding the types and frequencies of FRIDs prescribed to older adults presenting with falls to an emergency department (ED) may help identify opportunities for deprescribing. We performed a cross sectional analysis of data collected from a pharmacistled fall-prevention program focused on older adults presenting with a fall to an academic ED in the southeastern United States between August 2020 -December 2021. ED pharmacists identified older adults (≥65 years old) presenting with a chief complaint of 'fall' and then performed a medication reconciliations to verify and obtain data on outpatient prescription drug use. FRIDs were identified in accord with the 2019 American Geriatrics Society Beers Criteria and the Centers for Disease Control and Prevention Stopping Elderly Accidents, Deaths, & Injuries (STEADI-Rx) list. The ED pharmacists performed medication reconciliations on 424 unique older adults presenting with a fall. The cohort had a mean age of 81.3 years and were mostly female (63.3%) and white (84.9%). Prescription use of FRIDs were identified in 45.8% (194/424) of older adults presenting with a fall. An estimated 25.5% (108/424) of the subjects were prescribed 2 or more FRIDs. The most common FRIDs identified were antidepressants (25.9%), anticonvulsants (18.6%), opioids (12.7%), benzodiazepines (8.5%), and antipyschotics (3.1%). . Prescription use of FRIDs, including use of 2 or more FRIDs, was common in older adults presenting with a fall to the ED.

THE IMPACT OF TECHNOLOGY USE ON CUSTODIAL GRANDPARENTS' DEPRESSION Sarah Pace, Yanfeng Xu, and Theresa Harrison, University of South Carolina, Columbia, South Carolina, United States
During COVID-19, custodial grandparents experienced symptoms of depression due to social isolation, and technology use may reduce depression. This study examines the association between level of comfort of using technology and depression among custodial grandparents. Cross-sectional survey data (N = 287) were collected via multiple sources, including state agencies, local non-profit organizations serving kinship families, foster parent associations, schools, and Qualtrics Panels between March 2021 and March 2022. The average age of grandparents was 55 years. Over half were female (71.43%), had some college education (68.75%), and were White (55.12%). Depression was measured using the CES-D 10 scale. This variable was dummy coded using 8 as the cutoff score (Andresen et al., 1994). The level of comfort using technology was measured by combining four survey questions. Grandparent age, race, gender, marital status, home ownership, geographic area, disability, employment, education, physical health, telehealth, and telemental health were controlled. The logistic regression model revealed that those who had a higher comfort level with technology had significantly lower odds of having depression (OR = .543, p = < .001). Those with physical health had significantly lower odds of having depression (OR = .727, p = .044). Grandparents who needed telehealth (OR = 2.81, p =.005) and telemental health services (OR = 2.93, p =.003) had significantly higher odds of having depression. This research implies that custodial grandparents' use of technology, particularly their comfort levels with technology may reduce depression among grandparents. This will inform practice and policy for those who work with custodial grandparents.

THE RECIPROCAL RELATIONSHIP OF SELF-RATED HEALTH AND INSTRUMENTAL HELP FROM CHILDREN: EVIDENCE FROM GERMANY Lisa Jessee, University of Cologne, Cologne, Nordrhein-Westfalen, Germany
Prior research suggests that receiving support from children may promote health among ageing parents. Poor health, however, often precedes the need for support. Yet, research linking instrumental support and self-rated health (SRH) has been deficient in two regards: First, little research has addressed the relationship between instrumental support and SRH simultaneously using longitudinal data. Second, only few studies, have accounted for unobserved confounders (e.g. within-person effects) and potential reverse causality. Recently developed dynamic panel models with fixed effects provide an opportunity to address these methodological issues. Using four waves of the German Ageing Survey (DEAS) among 4,496 adults aged 40 years and older, the current study investigates the potential bidirectional relationship between instrumental support and SRH. I find that prior receipt of instrumental support from children is not a significant predictor of future reported poor SRH. Similarly, previous poor SRH does not significantly predict the likelihood of receiving instrumental support from children at follow-up. Independent of older adults' SRH, however, prior receipt of instrumental support is a statistically significant predictor of receiving support at follow-up. Regardless of receiving children's instrumental support, poor SRH in the past predicts poor SRH in the future. The results shed new light on prior bidirectional associations between SRH and instrumental support in the German context. Previous results may be partly explained by a lack of controls for unobserved individual characteristics. The findings suggest that policy interventions may not exclusively rely on older adults' receipt of support from children in the event of health declines. Part of the elderly Russian-speaking community in Israel is exposed to the TV channels of the Russian government. These channels are impacted by Russian propaganda and, as such, use false claims and manipulative techniques. The aim of this presentation is to shed light on the impact of Russian media on intergenerational relationships of Russianspeaker families in Israel. We conducted a preliminary qualitative study based on a thematic analysis of Facebook posts (Nf34) from March to June 2022. Analysis revealed four key themes: (1) "Tragedy of many families", the importance of unity of opinion and the problem of difference, a key element in the emotional well-being (or its lack) of Russian-speaking families at the moment; (2) "It's useless to explain something", the perception of older parents who support Putin as victims of "brainwashing", with comments on "zombies", totalitarian sects, and psychotropic drugs; (3) "The truth will destroy them", the perception of disbelief in war as a defensive reaction necessary for the elderly, because the reality may destroy them; (4) "A topic that is not talked about", a refusal to discuss Ukraine seen as the only way to save the relationship, speaking instead about health issues, daily life issues, and the weather. The findings underline that the Russian-Ukrainian war conflict impacts intergenerational solidarity and closeness, and calls for an intervention that provides support for both the elderly and their adult children.

GRANDPARENT-PARENT RELATIONSHIP, CAREGIVING MEANING AND FAMILY WELLBEING: AN APIM STUDY OF 200 DYADS Xu Liao, City University of Hong Kong, Hong Kong, Hong Kong
While many older persons contribute to their families by providing care to their grandchildren (GC), the role transition could bring challenges to both grandparents (GP) and parents (P) especially for those who evenly share caregiving duties. Despite growing research on grandparenthood, a knowledge gap remains in the study of GP-P partnership; it is essential to examine GP and P as a unit and learn how the dyadic relationship influences their family. The purpose of this study is to gain a further understanding of GP-P relationship, meaning of caregiving, and family well-being (FWB). Data from 200 GP-P dyads in China were collected by a questionnaire survey. The study participants were chosen from families with one GC aged 0-8 who is cared for by GP and P together, and identified by the GC's teachers. The actor-partner interdependence model (APIM) was adopted in data analysis. Results showed that for co-(grand)parenting relationship and FWB, the actor effect was statistically significant for both GP and P; so was the partner effect from P to GP. Likewise, for meaning of caregiving and FWB, the actor effect was statistically significant for both GP and P; so was the partner effect from GP to P. The results advance knowledge about GP-P partnership and how feelings and actions could impact the overall family well-being. The findings can also guide the development of practices and services that enhance the function of GP-P collaboration and their family well-being.