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After adjusting for covariates, greater attendance related to minimal symptoms over time, while more total and preferred-activity refusals related to minimal to severe depressive symptoms. Pain, number of important preferences, cognition, and length of stay moderated associations, suggesting preferred-activity refusal can mark distress requiring 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RESIDENTS’ PREFERRED RECREATIONAL ACTIVITY ATTENDANCE AND DEPRESSIVE SYMPTOMS OVER TIME  \nNahida Akter1, Allison R. Heid2, Michael J. Rovine3,  \nKaren Eshraghi1, Katherine Abbott4, and Kimberly VanHaitsma5, 1. The Pennsylvania State University, University Park, Pennsylvania, United States, 2. Independent Research Consultant, Ardmore, Pennsylvania, United States,  \n3. University of Pennsylvania, Philadelphia, Pennsylvania, United States, 4. Miami University, Oxford, Ohio, United States, 5. pennsylvania state university, UNIVERSITY PARK, Pennsylvania, United States  \nLittle is known about how preference-based care impacts nursing home (NH) residents’ well-being over time. The Preference Match Tracker (PMT) objectively tracks the number of recreation activities NH residents attend that match their important preferences. We explored how PMT data were linked to residents’ depressive symptoms over time. The number of preferred and non-preferred activities attended and refused to attend per week were tracked with the PMT for 586 residents over 1 year. We utilized generalized linear modeling to examine the association of preferred/non-preferred attendance/refusals for three depressive symptom groups (none, minimal, depressive symptoms) . After accounting for covariates, more attendance was associated with minimal depressive symptoms over time. More total activity refusals and refusals of preferred activities were associated with minimal and mild-to-severe depressive symptoms over time and, more refusals of non-preferred activities were associated with minimal symptoms. Associations were moderated by pain, count of important preferences, cognition, and length of stay. Refusing to attend preferred activities may serve as a marker of distress. Individuals who are cognitively capable and/or living in the NH for \u003C 90 days or experiencing pain, who are refusing preferred activities should be monitored for depressive symptoms and their recreational activity participation.  \n844 Innovation in Aging, 2025, Vol. 9, No. S2  \nadults’ use of technology and their openness to monitoring of technology use using a 25-30-minute online survey regarding current technology use and openness to PRM of technology use. Participants were 171 older adults with normal cognition or mild cognitive impairment (mean age=56, 66% Female, 29% White, 28% Black/African American, 18% Latinx, 22% Asian, 3% Mixed/Other Race) .Most respondents reported using smartphones for: texting (95.9%), calls (95.3%), camera/photos (94.2%) and e-mail (90.6%). Fewer respondents reported using phones for games (60.2%), health monitoring (60.2%) or digital assistance (38%). Females used GPS more than males (p \u003C .05). Young-old adults (age \u003C 55) used applications for organization, digital assistance, e-mail, social media, and health tools more than Old-older adults. Most of the sample reported openness to monitoring of: mobility (86%), overall time spent on phone (80.1%) and speed/errors in typing (76.6%). Respondents were less open to PRM of app use type (69%), GPS location (63.8%) and number of incoming/outgoing calls (61.9%) . No significant differences emerged regarding openness to monitoring based on age or gender (p>.05). These results demonstrate that older adults use technology for a range of daily tasks, indicating that PRM may be acceptable in this population. Older adults also may be willing to have some tasks monitored to detect cognitive impairment.  \nAbstract citation ID: igaf122.2859  \nTHE ROLE OF RELIGIOUS COPING AND PREPAREDNESS IN DEATH ACCEPTANCE AMONG DEMENTIA CAREGIVERS  \nLandon Peeples, Lauren Chrzanowski, and Benjamin  \nMast, University of Louisville, Louisville, Kentucky, United States  \nReligious coping is an important factor in how individuals manage aging and mortality, yet the mechanisms by which it influences acceptance of death are unclear. This study examines two ","cbCaieQ8IQ0MPCgR","https://ap.wps.com/l/cbCaieQ8IQ0MPCgR","pdf",1476124,"English","# Abstract\n## Study objective and method\n## Key findings and associations\n## Moderators and clinical implications","[{\"question\":\"What does the Preference Match Tracker measure in this study?\",\"answer\":\"It tracks the number of recreation activities nursing home residents attend that match their important preferences, along with attendance and refusals for preferred and non-preferred activities over time.\"},{\"question\":\"How were depressive symptoms grouped for analysis?\",\"answer\":\"Residents were categorized into three depressive symptom groups: none, minimal, and depressive symptoms.\"},{\"question\":\"What did the study find about attending or refusing preferred activities?\",\"answer\":\"More attendance was associated with minimal depressive symptoms over time, and more total refusals—especially refusals of preferred activities—were associated with minimal to mild-to-severe depressive symptoms over time.\"}]","NURSING HOME RESIDENTS’ PREFERRED RECREATIONAL ACTIVITY ATTENDANCE AND DEPRESSIVE SYMPTOMS OVER TIME | PDF",1790632197]