GSA 2018 Annual Scientific Meeting was proportionally highest (p < .001) during music therapy (z = -23.43) and motor activity (z = -13.67), and lowest (p = n.s.) during dance performances (z = -1.07) and art/crafts (z = 1.83). Compared to positive staff interactions during “no activity”, positive staff interactions was proportionally high- est (p < .001) during motor activities (z = -12.74) and music therapy (z = -11.86), and lowest (p = n.s.) during cognitive activities (z = -0.30) and music presentations (z = -0.17). Commonalities in quality activities included residents being able to see, engage, and move about if they wanted, staff con- sidering residents’ autonomy and staff using active efforts to converse with residents. Staff can observe affect in residents to evaluate engagement during activities, and adjust delivery and interaction frequency where needed. ADVANCE CARE PLANNING AMONG CHINESE AMERICAN OLDER ADULTS: AN EXPLORATORY STUDY Y. Liu 1 , F. Sun 2 , F. Marsiglia 1 , A. Roberto 1 , 1. Arizona State University, 2. School of Social Work, Michigan State University Objective: This study aimed to improve the engagement of advance care planning (ACP) on end-of-life care among Chinese American older adults. The Health Belief Model (HBM) was applied to explain Chinese American older adults’ ACP behaviors consisting of discussion of end-of-life care plans with family members and completion of an ad- vance directive (AD). Method: A cross-sectional survey was conducted through face-to-face interviews on a sample of 319 community-dwelling Chinese-American adults aged 55 and above living in the Phoenix metropolitan areas. Based upon random assignment, 161 participants answered ques- tions regarding discussing end-of-life care plans with family members, while 158 participants answered questions related to AD completion. Hierarchical logistic regression analysis was used to examine the infuence of the constructs (e.g., per- ceived susceptibility and barriers) in the HBM on these two behaviors. Results: Controlling for the effects of gender, age, education, income, religion, and residence length in the U.S., perceived barriers (OR = .23, p < .001) was related to lower likelihood of discussion with family members about end-of- life care plans. Similarly, controlling for the same variables, perceived barriers (OR = .18, p < .05) were signifcantly related to lower likelihood of completion of an AD. But perceived susceptibility (OR = 5.11, p < .05) was related to higher likelihood of completion of an AD. Implications: The HBM is useful in explaining ACP behaviors among Chinese American older adults. Factors (e.g., perceived susceptibility and barriers) should be considered in designing educational interventions and public awareness campaigns to promote behavior changes regarding ACP. AMBIGUITIES IN UNDERSTANDING OF PALLIATIVE VS. HOSPICE CARE: AN ELEVEN-COUNTY COMMUNITY SURVEY E. Bergman, Ithaca College Gerontology Institute A recent community survey (N=302) explored knowledge, beliefs, and attitudes regarding palliative and hospice care in an 11-county area of rural upstate New York. Specifcally, we explored: (1) what people knew about palliative and hospice care and how to access it; (2) the sources of this knowledge; and (3) beliefs and attitudes related to palliative and hospice care. Respondents were primarily middle-aged (74% were between the ages of 40 and 69) and female (83%). Two-thirds (66%) of participants indicated that they understood the dif- ference between hospice and palliative care and one-third (34%) indicated that they did not understand or were not sure about the difference. This poster will present and discuss quantitative and qualitative fndings related to participants’ understandings of the goals of and differences between pal- liative care and hospice. Themes identifed include “timing,” “services,” “unit of care,” “curative treatment,” “location,” and “payment.” Clear ambiguities across these themes were identifed in respondents’ understanding of palliative care, but not hospice care. AN RCT TREATING URGE URINARY INCONTINENCE IN OLDER ADULT WOMEN WITH MINDFULNESS-BASED STRESS REDUCTION K. Felsted, K. Supiano, College of Nursing, University of Utah Urge urinary incontinence has proven diffcult to treat in older adult women, as both behavioral and pharmaco- logical therapies have serious drawbacks in this popula- tion. Innovative treatments need to be explored in rigorous scientifc studies, yet older adult women are often margin- alized in this level of research. The aims of this combined feasibility study and randomized controlled trial examined six feasibility determinants and fve preliminary effcacy out- comes of treating urge urinary incontinence in older adult women (N=25; average age=74 years) utilizing an 8-week mindfulness-based stress reduction intervention in compari- son with the health enhancement program (HEP), which is an active comparison modality specifcally validated to be used alongside MBSR in scientifc research. Theoretical foundations included Stress Process Theory and Self-Effcacy Theory. The six feasibility determinants, measured as per- centages, included three research determinants: recruitment (59%; 100% consent rate), retention (73%), and treatment delivery (93%) and three intervention determinants: accept- ability (100%), tolerability (96%), and treatment adher- ence (attendance 96%; homework 89%). All six feasibility determinants were successfully met. Five preliminary effcacy outcomes were examined: symptom severity (MBSR p=.009; HEP p=.004), symptom bother (MBSR p=.000; HEP p=.007), perceived stress (MBSR p=.038; HEP p=.113), perceived self- effcacy (MBSR p=.013; HEP p=.222), and rate and trajec- tory of change (between conditions; p<.05 favoring MBSR). Study feasibility fndings suggest that this population has a high level of engagement even when examining a sensitive condition. Future research points to larger scale trials with more diverse populations, and an exploration of a combined MBSR and HEP intervention for even more valuable results. CAN A LIFESTYLE INTERVENTION MODIFY REST ACTIVITY RHYTHMS AMONG BEREAVED OLDER ADULTS? RESULTS FROM A PILOT STUDY S. Stahl 1 , S. Smagula 1 , C. Reynolds III 2 , 1. University of Pittsburgh, 2. University of Pittsburgh School of Medicine The death of a spouse is a life-altering event that is asso- ciated with disruption in routine daily activities. Disruption of daily activities place substantial stress on individuals’ Innovation in Aging, 2018, Vol. 2, No. S1 456 Downloaded from https://academic.oup.com/innovateage/article-abstract/2/suppl_1/456/5169014 by guest on 05 June 2020