scholarly journals Evaluation of a Mindfulness-Based Intervention Program to Decrease Blood Pressure in Low-Income African-American Older Adults

2012 ◽  
Vol 89 (2) ◽  
pp. 308-316 ◽  
Author(s):  
Priya Palta ◽  
G. Page ◽  
R. L. Piferi ◽  
J. M. Gill ◽  
M. J. Hayat ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Older Adults ◽  
African American ◽  
Low Income ◽  
Intervention Program ◽  
Decrease Blood Pressure ◽  
African American Older Adults

scholarly journals Designing a Cocreated Intervention with African American Older Adults for Hypertension Self-Management

2018 ◽  
Vol 2018 ◽  
pp. 1-7 ◽  
Author(s):  
Kathy D. Wright ◽  
Carolyn H. Still ◽  
Lenette M. Jones ◽  
Karen O. Moss
Keyword(s):  
Blood Pressure ◽  
Older Adults ◽  
African American ◽  
Health Care Providers ◽  
Mode Of Delivery ◽  
Self Management ◽  
Semistructured Interview ◽  
Care Providers ◽  
Group Sessions ◽  
African American Older Adults

Hypertension is a lifelong disease that requires self-management. Additionally, there are disparities in hypertension self-management that disproportionately affect African Americans. Interventions designed in collaboration with older adults have the potential to improve hypertension self-management. The purpose of this design paper is to describe the process in which African American older adults and nurse researchers cocreated an intervention to address stress in the self-management of hypertension. A semistructured interview guide was used to elicit feedback on self-management behaviors to cocreate an intervention with the participants. Participants provided constant iterative feedback on the design used for the intervention. Participants prioritized the content and mode of delivery. African American older adults with hypertension (N=31; 87% women) participated in two focus group sessions. The primary stressors identified by the group that influenced their blood pressure self-management were as follows: (a) measuring blood pressure and using home blood pressure monitors; (b) difficulty communicating with family and friends; (c) sleep management and pain at night; and (d) healthy eating. Based on the participants’ feedback, we created four biweekly (2-hour) group sessions that incorporated their suggestions and addressed their concerns. Health care providers can use this technique to engage African American older adults in participant-centered hypertension self-management.

Evaluation of the Chronic Disease Self-Management Program With Low-Income, Urban, African American Older Adults

2008 ◽  
Vol 25 (4) ◽  
pp. 193-202 ◽  
Author(s):  
Molly A. Rose ◽  
Christine Arenson ◽  
Pamela Harrod ◽  
Robyn Salkey ◽  
Abbie Santana ◽  
...  
Keyword(s):  
Older Adults ◽  
African American ◽  
Chronic Disease ◽  
Low Income ◽  
Management Program ◽  
Self Management ◽  
African American Older Adults

scholarly journals Medication Complexity among Disadvantaged African American Seniors in Los Angeles

Pharmacy ◽  
2020 ◽  
Vol 8 (2) ◽  
pp. 86
Author(s):  
Edward Adinkrah ◽  
Mohsen Bazargan ◽  
Cheryl Wisseh ◽  
Shervin Assari
Keyword(s):  
Older Adults ◽  
African American ◽  
Los Angeles ◽  
Low Income ◽  
Living Arrangements ◽  
Healthcare Providers ◽  
Multiple Chronic Conditions ◽  
Health Maintenance ◽  
South Los Angeles ◽  
African American Older Adults

Background. Several publications highlight data concerning multiple chronic conditions and the medication regimen complexity (MRC) used in managing these conditions as well as MRCs’ association with polypharmacy and medication non-adherence. However, there is a paucity of literature that specifically details the correlates of MRC with multimorbidity, socioeconomic, physical and mental health factors in disadvantaged (medically underserved, low income) African American (AA) seniors. Aims. In a local sample in South Los Angeles, we investigated correlates of MRC in African American older adults with chronic disease(s). Methods. This was a community-based survey in South Los Angeles with 709 African American senior participants (55 years and older). Age, gender, continuity of care, educational attainment, multimorbidity, financial constraints, marital status, and MRC (outcome) were measured. Data were analyzed using linear regression. Results. Higher MRC correlated with female gender, a higher number of healthcare providers, hospitalization events and multimorbidity. However, there were no associations between MRC and age, level of education, financial constraint, living arrangements or health maintenance organization (HMO) membership. Conclusions. Disadvantaged African Americans, particularly female older adults with multimorbidity, who also have multiple healthcare providers and medications, use the most complex medication regimens. It is imperative that MRC is reduced particularly in African American older adults with multimorbidity.

scholarly journals Understanding Alzheimer’s Disease Knowledge in Low-Income, Racially Diverse Older Adults

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 286-287
Author(s):  
Faika Zanjani ◽  
Taylor Wilkerson ◽  
Annie Rhodes ◽  
Jennifer Inker ◽  
Joann Richardson
Keyword(s):  
Alzheimer’S Disease ◽  
Older Adults ◽  
Alzheimer's Disease ◽  
African American ◽  
Low Income ◽  
Community Dwelling ◽  
Racial Groups ◽  
Or Education ◽  
Disease Knowledge ◽  
African American Older Adults

Abstract Individuals demonstrate varying levels of Alzheimer’s disease (AD) knowledge, as well as commonly held misconceptions about the risk factors and nature of the disease. Older adults often demonstrate low scores on AD knowledge scales and African Americans are often specifically not aware of their higher AD risk status compared to other racial groups. We measured the Alzheimer’s knowledge in 60+ community-dwelling adults, as part of a larger study on AD health coaching. Participants (n=20) were recruited from low-income communities within the Richmond, Virginia area. The study sample was 85% African American (n=17) and 55% male (n=11). Participants completed a behavioral psychosocial test battery, including the Alzheimer’s Disease Knowledge Scale. Similar to previous research, this sample of older adults held common misconceptions about AD, including the ideas that mental exercise can prevent AD (80% answered incorrectly) and individuals with AD are incapable of making decisions about their care (70% answered incorrectly). In this sample, the majority of African American older adults were aware of the fact that they have the highest risk for developing AD (20% answered incorrectly) compared to other racial groups. Analyses found no significant relationship between AD knowledge and health outcomes, alcohol consumption, or education. In conclusion to reduce AD risk, addressing AD knowledge in minority low-income population is important and needed. This is especially relevant since African American older adults are more likely to live in communities rather than nursing or assisted living facilities, receiving less access to interventions and research innovation.

scholarly journals Neighborhood Socioeconomic Disadvantage and Health Status Among African Americans Living in Low-Income Housing

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 577-578
Author(s):  
Adrienne Aiken-Morgan ◽  
Dextiny McCain ◽  
Karon Phillips ◽  
Keith Whitfield
Keyword(s):  
Older Adults ◽  
African American ◽  
Health Status ◽  
African Americans ◽  
Social Determinants Of Health ◽  
Social Determinants ◽  
Low Income ◽  
Socioeconomic Disadvantage ◽  
Determinants Of Health ◽  
African American Older Adults

Abstract Research has shown the importance of social determinants of health in explaining racial/ethnic disparities in many health outcomes; however, less attention has been given to within-group differences in social determinants of health among low-income African American older adults. The Physical and Cognitive Health Pilot Study (n=50) was utilized to examine associations between level of neighborhood socioeconomic disadvantage and self-reported health in African American older adults living in public housing in Durham, NC and Annapolis, MD. Results from ANOVA showed that Durham participants living in more disadvantaged neighborhoods had statistically significantly worse cardiovascular health, higher depression symptoms, worse sleep quality, and higher alcohol use (p=.05) than Annapolis participants living in a more resource-rich neighborhood. These findings suggest that among low-income African American elders, greater neighborhood/state socioeconomic disadvantage is associated with worse health status. Future research should consider neighborhood context as an essential variable when assessing health status among aging African Americans.

Physical Activity Preferences for Low-Income Sedentary Urban African American Older Adults

2013 ◽  
Vol 39 (6) ◽  
pp. 20-29 ◽  
Author(s):  
Mary A. Nies ◽  
Meredith Troutman-Jordan ◽  
Dominica Branche ◽  
Trudy Moore-Harrison ◽  
Caroline Hohensee
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
African American ◽  
Low Income ◽  
Activity Preferences ◽  
African American Older Adults

scholarly journals Calling Doctor Google? Technology Adoption and Health Information Seeking among Low-income African-American Older Adults

2017 ◽  
Vol 1 (2) ◽  
pp. 153 ◽  
Author(s):  
Hyunjin Seo ◽  
Joseph Erba ◽  
Mugur Geana ◽  
Crystal Lumpkins
Keyword(s):  
Older Adults ◽  
African American ◽  
Technology Adoption ◽  
Health Information ◽  
Low Income ◽  
Technology Use ◽  
Information Seeking ◽  
Kansas City ◽  
Health Information Seeking ◽  
African American Older Adults

We conducted focus groups with low-income African American older adults in Kansas City, MO, to examine how this underserved group adopts and uses technology and how technology adoption/use is associated with health information seeking behavior. Low-income African American older adults have been shown to lag behind in terms of their technology access and use. Our findings show that although low-income African American older adults perceive technology to be highly useful, they do not view it as easy to use, thus preventing them from further adopting or using relevant technologies. Consequently, there is skepticism with respect to using technology to search for health information. Our study advances research on underserved groups’ technology use and health information seeking by looking at the intersectionality of race/ethnicity, age, and income. 

scholarly journals Music Is Healing: Developing a Music Module for a Pain Management Intervention for African American Older Adults

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 815-815
Author(s):  
Mary Janevic ◽  
Sheria Robinson-Lane ◽  
Afton Hassett ◽  
Rebecca Courser
Keyword(s):  
Older Adults ◽  
African American ◽  
Pain Management ◽  
Health Workers ◽  
New Music ◽  
Participant Engagement ◽  
Management Intervention ◽  
Phone Calls ◽  
Positive Memories ◽  
African American Older Adults

Abstract Music has a known analgesic effect. Our multidisciplinary team is developing a music-focused module for Positive STEPS, a pain self-management intervention based on principles of positive psychology. The priority population is African American older adults with disabling chronic pain. Positive STEPS is delivered via website and phone calls from community health workers. To inform program design, we conducted two focus groups with older adults in Detroit (n=16; 100% female and African American; 75% age 70+). All participants said they would enjoy using music to cope with pain. Content analysis revealed the following themes regarding music for pain management: it elicits positive memories, reduces stress, motivates exercise and daily activities, and promotes relaxation. Participants offered ideas for music-focused activities, including learning about unfamiliar genres and using music for meditation/relaxation. Findings will inform the design of a new music module, to be pilot-tested for its effect on participant engagement and pain-related outcomes.

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