Search results for ‘Subject term:"older people"’ Sort:
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Outcome-focused services for older people from minorities
- Author:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE
- Journal article citation:
- Community Care, 3.7.08, 2008, pp.34-35.
- Publisher:
- Reed Business Information
Focusing on outcomes helps to ensure that services meet the needs of the people who use them rather than the people that run them. This article highlights the outcomes seen as important by minority ethnic older people.
Cognitive training for ethnic minority older adults in the United States: a review
- Authors:
- TZUANG Marian, et al
- Journal article citation:
- Gerontologist, 58(5), 2018, pp.e311-e324.
- Publisher:
- Oxford University Press
Purpose of the Study: Interest in cognitive training for healthy older adults to reduce cognitive decline has grown considerably over the past few decades. Given the shift toward a more diverse society, the purpose of this review is to examine the extent of race/ethnic minority participation in cognitive training studies and characteristics of studies that included race/ethnic minority participants. Design and Methods: This review considered peer-reviewed studies reporting cognitive training studies for cognitively healthy, community-dwelling older adults (age 55+) in the United States published in English before December 31, 2015. A total of 31 articles published between 1986 and 2015 meeting inclusion criteria were identified and included in the review. Results: A total of 6,432 participants were recruited across all of the studies, and ranged in age from 55 to 99 years. Across all studies examined, 39% reported racial/ethnic background information. Only 3 of these studies included a substantial number of minorities (26.7% in the ACTIVE study; 28.4% in the SeniorWISE study; 22.7% in the TEAM study). Race/ethnic minority older adults were disproportionately underrepresented in cognitive training studies. Implications: Further research should aim to enroll participants representative of various race/ethnic minority populations. Strategies for recruitment and retention of ethnic minority participants in cognitive training research are discussed, which could lead to the development of more culturally appropriate and perhaps more effective cognitive interventions. (Edited publisher abstract)
Delivery characteristics, acceptability, and depression outcomes of a home-based depression intervention for older African Americans: the Get Busy Get Better Program
- Authors:
- GITLIN Laura N., et al
- Journal article citation:
- Gerontologist, 56(5), 2016, pp.956-965.
- Publisher:
- Oxford University Press
Purpose of the Study: To facilitate replication, the authors examined delivery characteristics, acceptability, and depression outcomes of a home-based intervention, Get Busy Get Better, Helping Older Adults Beat the Blues (GBGB). GBGB, previously tested in a randomised trial, reduced depressive symptoms and enhanced quality of life in African Americans. Design and Methods: A total of 208 African Americans aged above 55 years with Patient Health Questionnaire (PHQ-9) scores ≥5 on two subsequent screenings were randomised to receive GBGB immediately or 4 months later. GBGB involves up to 10 home sessions consisting of care management, referral/linkage, depression education/symptom recognition, stress reduction, and behavioural activation. Interventionists recorded delivery characteristics (dose, intensity) and perceived acceptability of sessions. Baseline and post-tests were used to characterise participants and examine associations between dose/intensity and depression scores. Participant satisfaction and perceived benefits were examined at 8 momths. Results: Of 208 participants, 181 (87%, mean age = 69.6) had treatment data. Of these, 165 (91.2%) had ≥3 treatment sessions (minimal dose). Participants had on average 8.1 sessions (SD = 2.6) for an average of 65.4min (SD = 18.3) each. Behavioural activation and care management were provided the most (average of six sessions for average duration = 17.9 and 22.2min per session respectively), although all participants received each treatment component. GBGB was perceived as highly acceptable and beneficial by interventionists and participants. More sessions and time in programme were associated with greater symptom reduction. Implications: GBGB treatment components were highly acceptable to participants. Future implementation and sustainability challenges include staffing, training requirements, reimbursement limitations, competing agency programmatic priorities, and generalisability to other groups. (Edited publisher abstract)
Interim report on national seminars held for BME elders
- Authors:
- UNIVERSITY OF CENTRAL LANCASHIRE. International School for Communities, Rights and Inclusion, POLICY RESEARCH INSTITUTE ON AGEING AND ETHNICITY
- Publisher:
- University of Central Lancashire. International School for Communities, Rights and Inclusion
- Publication year:
- 2009
- Pagination:
- 26p.
- Place of publication:
- Preston
In the UK life expectancy has been growing steadily for more than a century with more of us living longer than ever before. In 2007 the UK experienced a demographic shift with more state age pensioners than children. By 2014, projections suggest, there will be more people aged over 65 years olds than there are aged under 16. And by 2025, the number of over 60’s will have passed the under 25’s for the first time. To address these challenges there needs to be a major cultural shift where older people are not defined by their age and ageism does not prevent them from fully utilising their skills and experience. This report summarises the outcomes from five national seminars organised by the Policy Research Institute for Ageing and Ethnicity (PRIAE) for Black and minority ethnic (BME) elders, their carers and BME age-related organisations over the summer and autumn of 2009.
Racial and ethnic disparities in post-stroke depression detection
- Authors:
- JIA Huanguang, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 25(3), March 2010, pp.298-304.
- Publisher:
- Wiley
A common characteristic amongst stroke survivors is post-stroke depression (PSD). Although associated with increased morbidity and mortality, little is understood about post-stroke depression, especially the racial and ethnic differences in PSD detection. This study, which assessed both the racial and ethnic disparities in PSD detection in a national cohort of 5,825 Department of Veterans Affairs (VA) acute stroke patients, included VA patients who received inpatient care for acute stroke within 2001, survived greater than 60 days post-index hospitalisation, had an index stay of less than 365 days, and were confirmed VA healthcare enrolees. PSD was established if a patient had a depression diagnosis in VA or Medicare inpatient or outpatient files, or was dispensed an antidepressant during the 12 months post stroke. A multivariate logistic regression model was fitted to estimate the effects of race and ethnicity on PSD detection, adjusting for socio-demographic and clinical factors. The study cohort was comprised of 66% white, 22% black, 7% Hispanic, and 6% other racial/ethnic categories, of which 39% had PSD. Black and all other racial and ethnic categories were significantly less likely to be diagnosed with PSD than non-Hispanic whites, even adjusting for potential risk factors. White, non-Hispanic VA acute stroke patients were more likely to be diagnosed with PSD, even controlling for socio-demographic and clinical characteristics. It was unclear whether these findings suggest racial/ethnic differences in symptom endorsement by patients or in symptom recognition by providers.
Social networks and use of social supports of minority elders in East Harlem
- Authors:
- CLEAK Helen, HOWE Judith L.
- Journal article citation:
- Social Work in Health Care, 38(1), 2003, pp.19-37.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Considerable empirical research substantiates the importance of social networks on health and well-being in later life. A study of ethnic minority elders living in two low income public housing buildings in East Harlem was undertaken to gain an understanding of the relationship between their health status and social networks. Findings demonstrate that elders with supportive housing had better psychological outcomes and used significantly more informal supports when in need. However, elders with serious health problems had poorer outcomes regardless of their level of social support. This study highlights the potential of supportive living environments to foster social integration and to optimise formal and informal networks. (Copies of this article are available from: Haworth Document Delivery Centre Haworth Press Inc., 10 Alice Street Binghamton, NY 13904-1580)
Social service users' own definitions of quality outcomes
- Author:
- JOSEPH ROWNTREE FOUNDATION
- Publisher:
- Joseph Rowntree Foundation
- Publication year:
- 2003
- Pagination:
- 4p.
- Place of publication:
- York
The Shaping Our Lives project, working in partnership with Black User Group (London), Service User Action Group (Wakefield), Ethnic Disabled Group Emerged (Manchester) and an alliance of user groups in Waltham Forest (London), looked at the application in practice of on-going work about what service users meant by 'user-defined outcomes'. Both the research and the development projects covered a range of experiences - including those of older people, mental health users, minority ethnic communities and disabled people and involving 66 users in all.
Cross-cultural differences in demented geropsychiatric inpatients with behavioral disturbances
- Authors:
- AKPAFFIONG Macjohn, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 14(10), October 1999, pp.845-850.
- Publisher:
- Wiley
Cross-cultural differences in treatment and diagnosis exist in several psychiatric disorders. This American study examines the phenomenological and treatment differences between Caucasian and African-American patients presenting to a geropsychiatric unit for treatment of behavioural disturbances associated with dementia. Results found both groups of patients responded similarly to like treatment on an inpatient geropsychiatric unit. Concludes that the similarity may be explained by the multi-ethnic make-up of the interdisciplinary treatment team and by the use of standardised scales to measure symptomatology and response.
Diversity or difference?: black and minority ethnic elders and the National Service Framewoek for Older people
- Authors:
- WILLMOTT Michaela, BALL Claire
- Publisher:
- Age Concern
- Publication year:
- 2003
- Pagination:
- 47p.
- Place of publication:
- London
Older people from minority ethnic communities are not all the same. There are language and cultural differences between groups based on country of origin and religion. The dynamics of each population are unique and reflect the group-specific fertility patterns, differences in timing of arrival, and the age–sex composition of original migrants. There are also different rates of ageing among different cultural groups, with some populations ageing faster than others. These differences are reflected in their diverse needs for support and services. Black and minority ethnic populations are the highest users of primary care services, yet they are less likely to gain access to appropriate health services and treatment and they report the worst health outcomes.
Spirituality in multicultural caregivers of persons with dementia
- Authors:
- FARRAN Carol J., PAUN Olimpia, ELLIOTT Mary Horton
- Journal article citation:
- Dementia: the International Journal of Social Research and Practice, 2(3), October 2003, pp.353-377.
- Publisher:
- Sage
This qualitative study examined spirituality in a multicultural group of caregivers of persons with dementia. The work was based upon earlier focus groups that centered on general outreach to African-American caregivers. While initial questions focused on caregiving experiences, service needs, and barriers to service use, caregivers spontaneously shared their experiences concerning spirituality and caregiving. In an effort to respond to these comments and embrace a more expanded outreach approach, successive focus groups specifically addressed questions about spirituality and caregiving. Using semi-structured questionnaires, three focus groups with existing community-based groups were conducted (N = 43). Four major categories emerged from the data: teachers of the faith; the role of faith in one's life; benefits of spirituality; and the caregiver, the care-receiver and the caregiving experience. These major categories were integrated into a spiritual model for the caregiver and the caregiving experience. Findings suggest that community-based outreach approaches should embrace an appreciation for caregivers' faith development, expressions, and experiences of spirituality; that clinical interventions should be more proactive in responding to spiritual/religious issues; and that future research efforts should refine methods and approaches for a more integrated scientific basis that further examines relationships between spirituality and mental and physical health outcomes.