Culturally Responsive Strengths-Based Therapy for Older Adults

2019 ◽  
pp. 478-511
Keyword(s):  
Older Adults ◽  
Culturally Responsive

scholarly journals The First Intervention Study for LGBTQ+ Older Adults With Dementia and Caregivers: COVID-19 Lessons Learned

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 112-112
Author(s):  
Karen Fredriksen Goldsen ◽  
Linda Teri ◽  
Hyun-Jun Kim ◽  
Charles Emlet ◽  
Ryan Petros ◽  
...  
Keyword(s):  
Older Adults ◽  
Culturally Responsive ◽  
Intervention Study ◽  
Retention Rate ◽  
Controlled Trial ◽  
Lessons Learned ◽  
Technology Support ◽  
Disadvantaged Communities ◽  
Aging Services ◽  
Home Technology

Abstract LGBTQ+ older adults face significant health disparities with higher rates of cognitive impairment and social isolation. Yet, the cognitive health needs of LGBTQ+ adults and caregivers have not been adequately addressed in clinical trials and services. In this presentation, we will share findings from Aging with Pride: IDEA (Innovations in Dementia Empowerment and Action), the first randomly controlled trial (RCT) intervention study designed to improve quality of life of LGBTQ+ adults living with dementia and caregivers, and to reduce institutionalization. In this presentation, we will share preliminary efficacy findings, the effectiveness of culturally responsive approaches, and Covid-19 adaptations, including delivery by virtual chat rather than in-home, technology training, ensuring safety of virtual intervention components, and providing on-going technology support. Preliminary findings suggest a higher intervention retention rate in the virtual delivery as compared to in-home. This study illustrates innovative ways to serve disadvantaged communities in dementia care and aging services.

Food for Thought: Culturally Diverse Older Adults' Views on Food and Meals Captured by Student-Led Digital Storytelling in the Bronx

2021 ◽  
Vol 5 (1) ◽  
pp. 60-75
Author(s):  
Justine McGovern ◽  
Katherine Gardner Burt ◽  
David Schwittek
Keyword(s):  
Older Adults ◽  
Urban Communities ◽  
Undergraduate Students ◽  
Culturally Responsive ◽  
Culturally Diverse ◽  
Best Practice ◽  
Social Connectedness ◽  
Digital Storytelling ◽  
Words And Images ◽  
Client Needs

ObjectiveThrough the lens of a digital storytelling project exploring food traditions, social connectedness, and aging among diverse older adults, this article demonstrates how innovative pedagogies can contribute to developing a more culturally responsive workforce better prepared to meet evolving needs of diverse urban communities.MethodsIn the fall of 2017, 25 undergraduate students enrolled in an interdisciplinary gerontology practice course engaged in a digital storytelling project to explore food traditions and social connectedness among older adults living in the Bronx.ResultsThe stories underscore the importance of food and meals in everyday life, particularly for people growing old far from their home of origin. The words and images indicate that food practices can assert identity, sustain cultural ties and social connectedness, and mediate losses both physical and emotional.ConclusionsThe article suggests that integrating innovative pedagogies across health profession curricula and fostering interdisciplinary and interprofessional collaborations are two ways to better meet client needs. Moreover, providing opportunities for experiential learning extends higher education's commitment to integrating best practice pedagogies across the curriculum.

scholarly journals Older Adult Refugees’ Roles in Creating Partnerships for Culturally Responsive Healthcare

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 375-375
Author(s):  
Denise Lewis ◽  
Desiree Seponski ◽  
Amber Kelley
Keyword(s):  
Older Adults ◽  
Healthcare System ◽  
Health Beliefs ◽  
Culturally Responsive ◽  
Language Translation ◽  
Healthcare Providers ◽  
The United States ◽  
Community Members ◽  
Local Healthcare ◽  
Culturally Responsive Interventions

Abstract The aim of this presentation is to reveal the importance of engaging older refugee community members in creating partnerships with local healthcare providers to implement culturally responsive interventions. Such engagement invites older refugees’ participation and encourages continued connection to country of origin beliefs and culture, particularly within the sphere of healthcare and medical family therapy. Cambodian and Laotian refugee families in coastal Alabama were interviewed via qualitative community-based participatory research and ethnographic, in-depth interviews focused on familial and communal processes. Local healthcare providers engaged in focus group discussions regarding cultural processes associated with health beliefs and behaviors and in periodic outreach through culturally responsive health fairs. We found that older adults play important roles in refugee populations as community leaders, problem-solvers, and legacy-carriers upholding traditional values and cultural continuity. They also maintain and promote continuity by employing traditional, complementary, or alternative medicine (TCAM). Recursive processes also emerged as older individuals sought care from younger community members in times of sickness, including having younger generations provide language translation and transportation to local healthcare centers and hospitals and in navigating the United States healthcare system. In addition, community members joined with local healthcare providers to aide in health and healthcare literacy among refugees and to educate local physicians on culturally responsive interventions. Implications include the inclusion of older adults in health decisions and the promotion and maintenance of community partnerships with health agencies that both encourage TCAM utilization and also allow for access to ongoing, appropriate treatment within the US healthcare system.

Aging, Incarceration, and Employment Prospects: Recommendations for Practice and Policy Reform

2014 ◽  
Vol 45 (4) ◽  
pp. 44-55 ◽  
Author(s):  
Tina Maschi ◽  
Keith Morgen ◽  
Kimberly Westcott ◽  
Deborah Viola ◽  
Lindsay Koskinen
Keyword(s):  
Older Adults ◽  
Culturally Responsive ◽  
Historical Analysis ◽  
Population Based ◽  
Structural Level ◽  
Educational Training ◽  
Formerly Incarcerated ◽  
Older Prisoners ◽  
Social Structural ◽  
Aging People

Aging people in prison and post-prison release pose significant yet surmountable challenges in satisfying age-specific educational, training, employment, financial and civic participation rights. This descriptive study of 677 older prisoners, aged 50+, in a statewide prison system provides a historical analysis of past and current individual and social structural level factors that influence the prisoners' economic and employment prospects after being released from prison. Results highlight the diversity within this population based on socio-demographics, work histories, family obligations, health status, and legal histories that influence the level of support experienced post incarceration. Thesefindings suggest the need for comprehensive services that provide prison and post-prison release education, vocational training, and housing and job placement for incarcerated and formerly incarcerated older adults. Strategies for providing culturally responsive tools and resources to support education, training, and employment offormerly incarcerated older adults are discussed.

Impact of Social Integration and Living Arrangements on Korean Older Adults’ Depression

2017 ◽  
Vol 86 (3) ◽  
pp. 306-321 ◽  
Author(s):  
Youjung Lee ◽  
Kyeonghee Jang ◽  
Naorah C. Lockhart
Keyword(s):  
Older Adults ◽  
Social Integration ◽  
Living Arrangements ◽  
Culturally Responsive ◽  
Multivariate Logistic Regression Analysis ◽  
Well Being ◽  
Living Alone ◽  
Health Concern ◽  
Moderation Effect ◽  
Predictors Of Depression

Depression among older adults is a challenging public health concern in Korea. Using panel data from the Korea Institute for Health and Social Affairs on Korean older adults and their family caregivers, this study explores significant predictors of depression among Korean older adults as well as the moderating effect of living arrangements on the association between social integration and depression. A multivariate logistic regression analysis showed that preexisting depression was the most significant predictor of Korean older adults’ current depression, followed by health status and family support. In addition, social integration significantly decreased Korean older adults’ depression. Importantly, a significant moderation effect of living arrangements between Korean older adults’ social integration and depression was observed. This study implies the development of individually tailored and culturally responsive programs to engage marginalized Korean older adults living alone, helping foster their well-being and optimal aging.

scholarly journals Older Adult Volunteers in Intergenerational Programs in Educational Settings Across the Globe

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 347-348
Author(s):  
Youjung Lee ◽  
Young-Mi Kim ◽  
Laura Bronstein ◽  
Vince Fox
Keyword(s):  
Older Adults ◽  
New York ◽  
Older Adult ◽  
Culturally Responsive ◽  
New York State ◽  
Educational Settings ◽  
Global Context ◽  
Intergenerational Programs ◽  
The Usa ◽  
Adult Volunteers

Abstract Volunteerism is a global phenomenon that aids multiple generations. Considering the positive evidence of volunteering among older adults and their desire for intergenerational engagement, it is important to explore older adult volunteers’ experiences in intergenerational programs with a specific focus on the cultural and social impacts of volunteering in educational settings in later years. Using a phenomenological qualitative approach, 43 interviews with older adult volunteers (23 in Korea and 20 in the USA) in intergenerational programs were conducted. Participants were recruited from the Beautiful Story Grandma (BSG) in Korea and the Foster Grandparent Program (FGP) in the USA in 2019. Due to the prescribed nature of the BSG, all of the Korean volunteers were female. The USA volunteers from the FGP included three African Americans, one Asian, and 16 White older adults. Two FGP volunteers were male. Korean participants lived primarily in Busan Metropolitan city (mean age: 63, range: 61-73). The USA volunteers were from urban/suburban areas New York State (mean age: 74, range: 60-84). Two major themes emerged from the interviews revolving around the role of culture and other demographics in the experience of volunteering: (1) Older adults experience benefits from volunteering to support the younger generation that transcend demographic and geographic differences; and, (2) distinctive cultural views of education lead to different experiences of volunteering in the two countries. The comparative research highlights the need for development of a model for culturally responsive practice with older adult volunteers in a global context.

scholarly journals INTEREST GROUP SESSION—RAINBOW RESEARCH GROUP: ADAPTING AN EVIDENCE-BASED INTERVENTION TO LGBT ADULTS WITH DEMENTIA AND CARE PARTNERS: MOBILIZING SUPPORT NETWORKS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S344-S344
Author(s):  
Karen Fredriksen Goldsen ◽  
Linda Teri
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Clinical Trial ◽  
Cognitive Impairment ◽  
Culturally Responsive ◽  
Underserved Populations ◽  
Support Networks ◽  
Physical And Mental Health ◽  
Modifiable Factors

Abstract LGBT (lesbian, gay, bisexual, and transgender) older adults have been found to have elevated risks of cognitive impairment. Maintaining quality of life is a challenge for those experiencing cognitive decline and their caregivers. Whereas support networks are essential for quality of life, LGBT older adults with dementia may face unique risks, such as stigma, social isolation, lack of family support, and barriers to healthcare. Aging with Pride: IDEA (Innovations in Dementia Empowerment and Action), is the first federally funded clinical trial to test an intervention designed to improve quality of life of LGBT older adults with dementia and caregivers adapting a preexisting program teaching behavioral strategies and physical exercises. The intervention incorporated empirical findings from a longitudinal study, Aging with Pride: National Health, Aging, and Sexuality/Gender Study (NHAS) and developed innovative and culturally responsive approaches. Kim and colleagues examine predictors of longitudinal changes in physical functioning among LGBT older adults with cognitive impairment focusing on physical, social, and recreational activities as well as stigma. Emlet and colleagues investigate caregiving experiences among LGBT older adults and identify factors that are associated with their physical and mental health. Lastly, Fredriksen Goldsen and colleagues introduce how the modifiable factors identified from the Aging with Pride: NHAS were incorporated in the IDEA intervention and evaluate the processes of the culturally-responsive approaches implemented in the study. The presentations in this symposium illustrate the importance of tailoring clinical trial studies for hard-to-reach and underserved populations with dementia responding to their unique health needs.

scholarly journals Culturally Responsive Pain Management for Black Older Adults

2017 ◽  
Vol 43 (8) ◽  
pp. 33-41 ◽  
Author(s):  
Sheria G. Robinson-Lane ◽  
Staja Q. Booker
Keyword(s):  
Older Adults ◽  
Pain Management ◽  
Culturally Responsive

Cognitive control constrains memory attributions

2019 ◽  
Vol 42 ◽  
Author(s):  
Colleen M. Kelley ◽  
Larry L. Jacoby
Keyword(s):  
Alzheimer’S Disease ◽  
Older Adults ◽  
Alzheimer's Disease ◽  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Cognitive Control

Abstract Cognitive control constrains retrieval processing and so restricts what comes to mind as input to the attribution system. We review evidence that older adults, patients with Alzheimer's disease, and people with traumatic brain injury exert less cognitive control during retrieval, and so are susceptible to memory misattributions in the form of dramatic levels of false remembering.

Cognitive Load Affects Speech Motor Performance Differently in Older and Younger Adults

2019 ◽  
Vol 62 (5) ◽  
pp. 1258-1277 ◽  
Author(s):  
Megan K. MacPherson
Keyword(s):  
Older Adults ◽  
Cognitive Load ◽  
Motor Performance ◽  
Age Groups ◽  
Incongruent Condition ◽  
Sentence Production ◽  
Movement Duration ◽  
Production Task ◽  
Younger Adults ◽  
Speech Motor

PurposeThe aim of this study was to determine the impact of cognitive load imposed by a speech production task on the speech motor performance of healthy older and younger adults. Response inhibition, selective attention, and working memory were the primary cognitive processes of interest.MethodTwelve healthy older and 12 healthy younger adults produced multiple repetitions of 4 sentences containing an embedded Stroop task in 2 cognitive load conditions: congruent and incongruent. The incongruent condition, which required participants to suppress orthographic information to say the font colors in which color words were written, represented an increase in cognitive load relative to the congruent condition in which word text and font color matched. Kinematic measures of articulatory coordination variability and movement duration as well as a behavioral measure of sentence production accuracy were compared between groups and conditions and across 3 sentence segments (pre-, during-, and post-Stroop).ResultsIncreased cognitive load in the incongruent condition was associated with increased articulatory coordination variability and movement duration, compared to the congruent Stroop condition, for both age groups. Overall, the effect of increased cognitive load was greater for older adults than younger adults and was greatest in the portion of the sentence in which cognitive load was manipulated (during-Stroop), followed by the pre-Stroop segment. Sentence production accuracy was reduced for older adults in the incongruent condition.ConclusionsIncreased cognitive load involving response inhibition, selective attention, and working memory processes within a speech production task disrupted both the stability and timing with which speech was produced by both age groups. Older adults' speech motor performance may have been more affected due to age-related changes in cognitive and motoric functions that result in altered motor cognition.

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