Culturally Tailored Community Brain Health Education for Chinese Americans Aged 50 or Above: A Mixed-Methods Open Pilot Study.

IF 2.1 Q3 GERIATRICS & GERONTOLOGY
Kaipeng Wang, Fei Sun, Peiyuan Zhang, Carson M De Fries, Xiaoyouxiang Li, Jie Zhu, My Ngoc To
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Abstract

Background: Chinese Americans, the largest Asian American subgroup in the U.S., face linguistic, cultural, and socio-economic barriers to dementia prevention. To promote brain health in this population, a culturally tailored community approach is essential. This study evaluates a culturally tailored community brain health education program to enhance brain health knowledge and motivate lifestyle changes to prevent the risk of dementia among Chinese Americans aged 50 or older. Methods: The program was developed and evaluated in four phases. First, we assessed participants' interests in brain health topics, availability, and preferred delivery modes. Next, experts on the identified topics developed educational content and outcome assessments. The third phase focused on implementing a six-session program covering general knowledge about Alzheimer's disease and related dementias, diet, sleep, physical exercise, health checks, and mindfulness. Finally, we evaluated the program's feasibility and effectiveness using pre-post surveys, feedback questionnaires, and focus groups. Results: Seventy-seven participants registered for the program, and sixty-nine (90%) attended at least four sessions. The quantitative results, based on paired t-tests, showed significant increases in brain health knowledge, sleep quality, and behavioral motivation for lifestyle changes, and a decrease in depressive symptoms, with two-tailed p-values lower than 0.05. The qualitative results further revealed promising feasibility and acceptability, as well as the perceived benefits of the program. Conclusions: The findings highlight the feasibility, acceptability, and potential effectiveness of a culturally tailored community education approach for promoting brain health and lifestyle changes. Sustained community outreach and education efforts among Chinese Americans are needed.

针对50岁或以上美籍华人的社区脑健康教育:一项混合方法的开放试点研究。
背景:美籍华人是美国最大的亚裔群体,在预防痴呆症方面面临语言、文化和社会经济障碍。为了促进这一人群的大脑健康,一种适应不同文化的社区方法至关重要。本研究评估了一个文化定制的社区脑健康教育项目,以提高50岁或以上的华裔美国人的脑健康知识和激励生活方式的改变,以预防痴呆症的风险。方法:该方案分为四个阶段进行编制和评价。首先,我们评估了参与者对大脑健康主题、可用性和首选递送模式的兴趣。接下来,确定主题的专家制定了教育内容和结果评估。第三阶段的重点是实施一个为期六个阶段的项目,涵盖阿尔茨海默病和相关痴呆症的一般知识、饮食、睡眠、体育锻炼、健康检查和正念。最后,我们通过前后调查、反馈问卷和焦点小组来评估项目的可行性和有效性。结果:77名参与者注册了该计划,69名(90%)参加了至少4次会议。基于配对t检验的定量结果显示,大脑健康知识、睡眠质量和生活方式改变的行为动机显著增加,抑郁症状减少,双尾p值低于0.05。定性结果进一步揭示了有希望的可行性和可接受性,以及该计划的感知效益。结论:研究结果强调了文化定制社区教育方法促进大脑健康和生活方式改变的可行性、可接受性和潜在有效性。需要在美籍华人中开展持续的社区宣传和教育工作。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Geriatrics
Geriatrics 医学-老年医学
CiteScore
3.30
自引率
0.00%
发文量
115
审稿时长
20.03 days
期刊介绍: • Geriatric biology • Geriatric health services research • Geriatric medicine research • Geriatric neurology, stroke, cognition and oncology • Geriatric surgery • Geriatric physical functioning, physical health and activity • Geriatric psychiatry and psychology • Geriatric nutrition • Geriatric epidemiology • Geriatric rehabilitation
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