scholarly journals Adapting the KAER Framework to Support Early Diagnosis and Treatment of Dementia in Asian Americans

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 787-787
Author(s):  
Tina Sadarangani ◽  
Jennifer Zanowiak ◽  
Janet Pan ◽  
Vanessa Salcedo ◽  
Stella Yi ◽  
...  
Keyword(s):  
Asian Americans ◽  
Asian American ◽  
Advanced Disease ◽  
Culturally Appropriate ◽  
Participatory Action ◽  
Community Based ◽  
Cultural Relevancy ◽  
Community Based Organizations ◽  
Disease Stages ◽  
Asian American Health

Abstract Asian Americans (AAs) are frequently diagnosed with dementia in advanced disease stages and have difficulty accessing services. The NYU Center for the Study of Asian American Health, set out to culturally adapt The Kickstart-Assess-Evaluate-Refer (KAER) framework to support earlier detection of dementia in AA communities. Working with Bangladeshi, Chinese, and Korean senior centers, we used a participatory action approach to assess cultural relevancy, usability and acceptability of KAER to improve timely diagnosis and access to care. We found that community-based organizations (CBOs), not physicians, were often “first responders” in identifying and managing dementia. However, CBO staff felt unprepared to “Kickstart” discussions, found certain KAER questions were not culturally appropriate, and encountered barriers in communicating their concerns to physicians. Adaptations to KAER can maximize its impact and reach in AA communities. Suggestions include group education, as opposed to individualized screening, and stronger linkages between physicians and CBOs to ensure care continuity.

scholarly journals Asian Americans’ Perception of Intergroup Commonality with Blacks and Latinos: The Roles of Group Consciousness, Ethnic Identity, and Intergroup Contact

2021 ◽  
Vol 10 (11) ◽  
pp. 441
Author(s):  
Saemyi Park
Keyword(s):  
Ethnic Identity ◽  
Asian Americans ◽  
Asian American ◽  
Intergroup Contact ◽  
Racial Groups ◽  
Group Consciousness ◽  
Community Based ◽  
Community Based Organizations ◽  
Ordered Logistic Regression ◽  
Interminority Relations

This study explores the factors that influence Asian Americans’ perception of interracial commonality with Blacks and Latinos. Using the 2018 Civic Engagement and Political Participation of Asian Americans Survey, this research tests a model of competing theoretical explanations for Asian Americans’ intergroup commonality: group consciousness, group identity, views of discrimination, and intergroup contact. Results from ordered logistic regression analyses suggest that group consciousness, ethnic identity, and intergroup contact via friendship are robust predictors of Asian Americans’ feelings of closeness to Blacks and Latinos. However, Asian Americans’ perceptions of discrimination are unlikely to result in higher levels of the perceived commonality with outgroups. This study provides a valuable addition to the existing literature on interminority relations by identifying opportunities for Asian Americans to join cross-racial alliances. The conclusion of the article points to the important role that community-based organizations can play in bringing specific Asian American ethnic groups into such coalitions and promoting direct interactions between Asian Americans and other racial groups.

scholarly journals Redefining the Care Continuum to Create a Pipeline to Dementia Care for Minority Populations

2020 ◽  
Vol 11 ◽  
pp. 215013272092168
Author(s):  
Tina R. Sadarangani ◽  
Vanessa Salcedo ◽  
Joshua Chodosh ◽  
Simona Kwon ◽  
Chau Trinh-Shevrin ◽  
...  
Keyword(s):  
Alzheimer’S Disease ◽  
Primary Care ◽  
Alzheimer's Disease ◽  
Asian American ◽  
Minority Groups ◽  
Primary Care Providers ◽  
Dementia Care ◽  
Care Providers ◽  
Community Based ◽  
Community Based Organizations

Multiple studies show that racial and ethnic minorities with low socioeconomic status are diagnosed with Alzheimer’s disease and Alzheimer’s disease–related dementias (AD/ADRD) in more advanced disease stages, receive fewer formal services, and have worse health outcomes. For primary care providers confronting this challenge, community-based organizations can be key partners in supporting earlier identification of AD/ADRD and earlier entry into treatment, especially for minority groups. The New York University Center for the Study of Asian American Health, set out to culturally adapt and translate The Kickstart-Assess-Evaluate-Refer (KAER) framework created by the Gerontological Society of America to support earlier detection of dementia in Asian American communities and assist in this community-clinical coordinated care. We found that CBOs play a vital role in dementia care, and are often the first point of contact for concerns around cognitive impairment in ethnically diverse communities. A major strength of these centers is that they provide culturally appropriate group education that focuses on whole group quality of life, rather than singling out any individual. They also offer holistic family-centered care and staff have a deep understanding of cultural and social issues that affect care, including family dynamics. For primary care providers confronting the challenge of delivering evidence-based dementia care in the context of the busy primary care settings, community-based organizations can be key partners in supporting earlier identification of AD/ADRD and earlier entry into treatment, especially for minority groups.

A Model Protocol for Applying Anthropology in Rapid Health Services Evaluations

2003 ◽  
Vol 25 (2) ◽  
pp. 39-42 ◽  
Author(s):  
Elisa Sobo
Keyword(s):  
Health Services ◽  
Low Income ◽  
San Diego ◽  
Public Awareness ◽  
Culturally Appropriate ◽  
Community Based ◽  
Evaluation Team ◽  
Community Based Organizations ◽  
Low Income Children ◽  
Services Evaluation

In 1998, California launched Healthy Families/Medi-Cal for Children (HF/MCC). HF/MCC provides low- and no-cost insurance to low-income children. Six million dollars was budgeted for culturally appropriate outreach and enrollment activities and 72 community-based organizations (CBOs) were contracted to carry these out. The contracts were performance based and required measurable outcomes, such as successful enrollments, to increase local public awareness and generate enrollment in HF/MCC. Children's Hospital San Diego was hired (through the San Diego State Foundation) to evaluate the CBOs' performance. This article describes the fortuitous incorporation of a qualitative anthropological component. The protocol developed might be applied in other rapid health services evaluation contexts, especially when other members of the evaluation team (or the sponsors) have not yet been convinced of the usefulness of the qualitative approach.

scholarly journals Post-Disaster Mental Distress Relief: Health Promotion and Knowledge Exchange in Partnership with a Refugee Diaspora Community

Refuge ◽  
2008 ◽  
pp. 44-54 ◽  
Author(s):  
Laura Simich ◽  
Lisa Andermann ◽  
Joanna Anneke Rummens ◽  
Ted Lo
Keyword(s):  
Community Service ◽  
Disaster Response ◽  
Mental Distress ◽  
Service Providers ◽  
Knowledge Exchange ◽  
Sri Lankan ◽  
Culturally Appropriate ◽  
Community Based ◽  
Community Based Organizations ◽  
Post Disaster

After the 2004 Asian tsunami, a group of concerned scientists, physicians, and community service providers united to form a Local Distress Relief Network (LDRN) to provide information, referral, and care to affected members of the large Sri Lankan Tamil community in Toronto. The LDRN organized a workshop that brought together community-based organizations and international and local experts in mental health and disaster response to review existing knowledge on disaster response and to share community knowledge and experience. This article summarizes the development of the network, the workshop proceedings and joint recommendations for communitybased, culturally appropriate mental distress relief.

It’s Alive! Sounds for the Vault

2007 ◽  
Vol 5 (1) ◽  
pp. 79-95
Author(s):  
Lewis Kawahara
Keyword(s):  
United States ◽  
Asian American ◽  
Pacific Islander ◽  
The United States ◽  
Collections Management ◽  
Community Based ◽  
Community Based Organizations ◽  
The Status

A questionnaire was sent to 93 Asian American Pacific Islander organizations and museums throughout the United States. The questionnaire queried the status of Asian American Pacific Islander sound collections that are housed by Asian American Pacific Islander community-based organizations and museums. The questionnaire asked the Respondents basic questions as well as the types of formats used, storage of sound-related materials, and collections management questions. In conclusion recommendations were made on caring and maintaining an Asian American Pacific Islander sound collection.

Community-Based Asian American and Pacific Islander Organizations and Immigrant Integration

2012 ◽  
Vol 10 (1) ◽  
pp. 41-58
Author(s):  
Erwin de Leon
Keyword(s):  
Nonprofit Organizations ◽  
Asian American ◽  
Pacific Islander ◽  
Immigrant Integration ◽  
Community Based ◽  
Community Based Organizations ◽  
Political Networks ◽  
The Social ◽  
Wide Range ◽  
Administrative Structures

An Urban Institute study examined immigrant integration through the lens of community-based organizations. Based on interviews with nonprofit leaders and an analysis of financial data, the study found that immigrant-serving nonprofits provide a wide range of programs and services that promote the social and political mobility of newcomers. Findings also suggest that Asian American and Pacific Islander (AAPI) organizations in the Washington, D.C. metropolitan area are smaller than other immigrant-serving nonprofits. AAPI groups also lack access to political networks that are crucial to securing policy and funding support. Moreover, different political and administrative structures affect the ability of these nonprofit organizations to serve their constituents.

“What Am I Doing Here?”

2018 ◽  
pp. 89-106 ◽  
Author(s):  
Wei Ming Dariotis ◽  
Arlene Daus-Magbual ◽  
Grace J. Yoo
Keyword(s):  
Service Learning ◽  
San Francisco ◽  
Asian American ◽  
American Studies ◽  
Asian American Studies ◽  
Community Service Learning ◽  
Community Based ◽  
Learning Partnerships ◽  
Community Based Organizations ◽  
Bay Area

Creating and maintaining meaningful, educational, and culturally engaging service learning partnerships between Asian American studies programs and Asian American community-based organizations (CBOs) is both challenging and rewarding. The Asian American Studies Department at San Francisco State University was founded in partnership with both student organizations and community-based organizations, and has sought to maintain the promise to bring university resources and knowledge into the community, while bringing community resources and wisdom into the university through a variety of campus-community partnerships. This study reviews that history in order to contextualize current relationships and practices within institutionally structured community service-learning (CSL) designated courses. A survey of students, community organization partners, and faculty engaged with Asian American service-learning in the San Francisco Bay Area reveals the benefits and challenges of culturally engaged service-learning, suggestions for best practices, and future directions.

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