Suchergebnisse

Background: Established relationships be­tween researchers, stakeholders and poten­tial participants are integral for recruitment of potential older adult participants and Evidence-Based Programs (EBPs) for chronic disease management have empirically been shown to help improve health and maintain healthy and active lives. To accelerate recruitment in EBPs and potential future research, we propose a Wellness Pathway allowing for delivery within multipurpose senior centers (MPCs) linked with medical facilities among lower-income urban older adults. The study aims were to: 1) assess the effectiveness of three MPC-delivered EBPs on disease management skills, health outcomes, and self-efficacy; and 2) assess the feasibility of the proposed Wellness Pathway for lower-income urban-dwelling older adults of color.Methods: We administered surveys and conducted a pre-post analysis among participants enrolled in any 1 of 3 MPC-based EBPs (n=53). To assess feasibility of the pathway, we analyzed survey data and interviews (EBP participants, MPC staff, physicians, n=10).Results: EBP participation was associated with greater disease management skills (increased time spent stretching and aerobic activity) but not improvements in self-effica­cy or other health outcomes. Interviews re­vealed: 1) older adults valued EBPs and felt the Wellness Pathway feasible; 2) staff felt it feasible given adequate growth manage­ment; 3) physicians felt it feasible provided adequate medical facility integration.Conclusion: MPC-based EBPs were associ­ated with improvements in disease manage­ment skills among older adults; a proposed Wellness Pathway shows early evidence of feasibility and warrants further investigation. Future efforts to implement this model of recruiting older adults of color into EBPs should address barriers for implementation and sustainability. Ethn Dis. 2020;30(Suppl 2):735-744; doi:10.18865/ed.30.S2.735

Purpose Community members and non-academic partners ("affected groups") were asked to identify factors that can influence public support, impede adoption, and mitigate challenges related to adopting local smoke-free multi-unit housing policies. Approach A series of key informant interviews were conducted with affected groups from a large U.S. metropolitan area. Setting 20 cities in Los Angeles County without a smoke-free multi-unit housing ordinance. Participants Interviewees were recruited from affected groups with knowledge about their community's civic and political landscape (n = 63). Method Data were collected and analyzed using thematic analysis to identify, code and compare themes. Results Most interviewees indicated civic groups, those who do not smoke, and/or groups who are educated about the negative health effects of secondhand smoke exposure would be more likely to support smoke-free multi-unit housing policies. Interviewees reported several challenges to policy adoption, including competing city priorities, public disengagement, and the cost and social burden of enforcing these ordinances. To overcome them, interviewees recommended working synergistically with local governments to build diverse coalitions, educate the public, and develop clear enforcement plans. Conclusion Insights and recommendations from affected groups in 20 U.S. cities suggest that communicating with the public and priming impacted communities to support smoke-free multi-unit housing policies are promising interventions for protecting at-risk families from secondhand smoke exposure in their homes.