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Wilson L, Rice C, Thompson S. Social Participation and Loneliness in Older Adults in a Rural Australian Context: Individual and Organizational Perspectives. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2024; 21:886. [PMID: 39063463 DOI: 10.3390/ijerph21070886] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/13/2024] [Revised: 07/03/2024] [Accepted: 07/05/2024] [Indexed: 07/28/2024]
Abstract
A rise in aging populations globally calls attention to factors that influence the well-being and health of older adults, including social participation. In Australia, rural older adults face cultural, social, and physical challenges that place them at risk for isolation. Thus, research surrounding social participation and healthy aging is increasingly relevant, especially in rural areas. This qualitative study in a remote town in Western Australia explores barriers and facilitators to older adults' social participation. To investigate multiple perspectives, 23 adults aged 50+ and 19 organizations from a rural town were interviewed. A stakeholder reference group was engaged to refine the research design and validate the findings. Feedback from early interviews was used to refine the data collection process, thus enhancing the validity of the findings. Thematic analysis showed that health and mobility issues, inadequate infrastructure, poor sustainability, and cultural tensions commonly impacted social participation. Themes of rural town culture, cultural power dynamics, and rural stoicism were identified as cultural aspects that inhibited participation. Based on results of this study and the supporting literature, recommendations for inclusive activities include supporting community-designed programs, utilizing culturally sensitive language and personnel, expanding services using existing community resources, and diversifying older adults' roles in existing groups.
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Affiliation(s)
- Leah Wilson
- Department of Global Health, Georgetown University, Washington, DC 20057, USA
- Western Australian Centre for Rural Health, University of Western Australia, Geraldton, WA 6009, Australia
| | - Carrigan Rice
- Department of Global Health, Georgetown University, Washington, DC 20057, USA
- Western Australian Centre for Rural Health, University of Western Australia, Geraldton, WA 6009, Australia
| | - Sandra Thompson
- Western Australian Centre for Rural Health, University of Western Australia, Geraldton, WA 6009, Australia
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Lanthier-Labonté S, Chaudhury H, Wong J, Hung L. Dementia-Friendly Transportation Services: A Scoping Review. THE GERONTOLOGIST 2024; 64:gnae047. [PMID: 38767432 PMCID: PMC11200191 DOI: 10.1093/geront/gnae047] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2023] [Indexed: 05/22/2024] Open
Abstract
BACKGROUND AND OBJECTIVES Transportation is an important component of dementia-friendly communities. People living with dementia have the right to access transportation services to keep their mobility in their community, which is essential for independence, well-being, and quality of life. This scoping review maps the literature on dementia-friendly transportation services and explores their characteristics to inform future development and research. RESEARCH DESIGN AND METHODS Empirical quantitative and qualitative studies in English or French that informed on transportation services for people living with dementia in the community were searched in 15 databases. Two authors independently screened records and charted relevant characteristics from selected publications. Important findings were summarized with a narrative synthesis approach. RESULTS Thirty-five studies informed on important dimensions of transportation services in urban and/or rural context: availability, accessibility, acceptability, adaptability, and affordability. Important insights were identified: the importance of staff training and attitude, and the challenges of availability of affordable services in the rural context. Emerging policy and program intervention areas include the need for access to quiet areas in transit hubs, training to use mass public transit and mobility management. DISCUSSION AND IMPLICATIONS The literature on dementia-friendly transportation services is important in the expansion and maintenance of mobility for people living with dementia in the community. The scope of the existing scientific literature remains limited. Although several studies indicated a clear need for better access to dementia-friendly transportation services, the best practices still need to be demonstrated in the scientific literature.
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Affiliation(s)
- Stéphanie Lanthier-Labonté
- Department of Gerontology, Simon Fraser University, Vancouver, British Columbia, Canada
- Department of Community Health Sciences, Faculty of Medicine and Health Sciences, University of Sherbrooke, Quebec City, Quebec, Canada
| | - Habib Chaudhury
- Department of Gerontology, Simon Fraser University, Vancouver, British Columbia, Canada
| | - Joey Wong
- School of Nursing, The University of British Columbia, Vancouver, British Columbia, Canada
| | - Lillian Hung
- School of Nursing, The University of British Columbia, Vancouver, British Columbia, Canada
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Fernandez Cajavilca M, Sadarangani T. Dementia-literate informal caregivers: An evolutionary concept analysis. Nurs Outlook 2024; 72:102224. [PMID: 38905740 DOI: 10.1016/j.outlook.2024.102224] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2023] [Revised: 05/29/2024] [Accepted: 05/29/2024] [Indexed: 06/23/2024]
Abstract
BACKGROUND Previous concept analyses have not conceptualized an evidence-based definition of the concept of dementia literacy. METHODS Rodger's evolutionary method was used to conceptualize dementia literacy among informal caregivers of persons living with dementia (PLWD) in the United States. A comprehensive search across four databases and a thorough review process resulted in 22 relevant articles between 2011 and 2023. DISCUSSION Dementia literacy is defined as the ability to acquire dementia-related knowledge to inform decision-making, self-identify gaps in caregiving support, and secure access to necessary resources to enable long-term care, all while maintaining relationships with an interdisciplinary team of specialized providers. CONCLUSION The nursing profession can promote dementia literacy by recognizing the needs of racial and ethnic groups, the complexity of culture and language, and being mindful of potential implicit bias toward informal caregivers who are working diligently to be prepared and proactive for PLWD.
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Pruitt A, Croff R, Boise L, Kaye J. Are We Talking About the Same Thing? Black/African Americans' Response to the BRFSS Cognitive Decline and Caregiver Modules. J Cross Cult Gerontol 2024:10.1007/s10823-024-09507-8. [PMID: 38861052 DOI: 10.1007/s10823-024-09507-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/03/2024] [Indexed: 06/12/2024]
Abstract
The Behavioral Risk Factor Surveillance System (BRFSS) is a randomized national U.S. telephone survey administered by state health departments. This study aimed to identify how Black/African Americans understand BRFSS caregiver and cognitive decline surveys and terminology to inform health messaging that centers the Black/African American experience. In focus groups, BRFSS surveys were administered to Black/African Americans (n = 30) aged ≥ 45 in Oregon. Participants were asked how they interpreted BRFSS terms 'memory loss' and 'confusion,' how these terms related to Alzheimer's and dementia, and about caregiving and cognitive decline experiences. The culturally responsive Africana Worldview guided interpretation, which centers the Black/African American experience and individuals within interdependent relationships and community identity when explaining behaviors of people from the African diaspora. BRFSS survey responses differed from focus group responses to the same questions. Two participants reported providing care in the past two years on the survey; in discussions, 21 participants reported providing care in the past two years. Interpretations of BRFSS terminology varied greatly. Differences between age-related cognitive changes, dementia and Alzheimer's disease were unclear. Cognitive decline was largely understood in terms of identity loss and relationship changes with the affected individual, and how that individual's relationship changed within community. Caution is advised when using BRFSS data to frame messaging because key cognitive health terms are not universally understood. Messaging that apply the Africana Worldview centralizes relationships and community rather than impact on individual's day-to-day activities, may be more effective for Black/African Americans and for other groups with different cultural and life experiences.
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Affiliation(s)
- Andre Pruitt
- School of Social Work, Portland State University, Portland, OR, USA
| | - Raina Croff
- Department of Neurology, Oregon Alzheimer's Disease Research Center, Oregon Health & Science University, Portland, OR, USA.
| | - Linda Boise
- Department of Neurology, Oregon Alzheimer's Disease Research Center, Oregon Health & Science University, Portland, OR, USA
| | - Jeffrey Kaye
- Department of Neurology, Oregon Alzheimer's Disease Research Center, Oregon Health & Science University, Portland, OR, USA
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Rindge ME, Strainge L, O'Connor MK. A neuropsychological feedback model for memory clinic trainees. BMC MEDICAL EDUCATION 2024; 24:40. [PMID: 38191384 PMCID: PMC10773085 DOI: 10.1186/s12909-023-04903-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/26/2023] [Accepted: 11/24/2023] [Indexed: 01/10/2024]
Abstract
Memory clinics that specialize in evaluating and treating cognitive decline in older adults are increasingly common and serve as an important training setting for neuropsychology practicum students, interns, and postdoctoral residents. Following a neuropsychological evaluation, trainees are tasked with sharing results, diagnoses, and treatment recommendations, a practice referred to as feedback. Despite the importance and complexity of providing feedback in this setting, no specific model of feedback delivery exists to guide trainees when learning this crucial skill within a memory clinic. The following article presents a feedback model for memory clinic trainees and details its development based on best practices available in the literature. The feedback model aims to promote trainees' confidence in their clinical skills and increase patient and visit partner understanding of evaluation results. It is also our hope that this model will advance the field of education within neuropsychology.
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Affiliation(s)
- Melissa E Rindge
- Neuropsychology Service, Bedford VA Healthcare System, 200 Springs Rd, Bedford, MA, 01730, USA.
| | - Lauren Strainge
- Neuropsychology Service, Bedford VA Healthcare System, 200 Springs Rd, Bedford, MA, 01730, USA
| | - Maureen K O'Connor
- Neuropsychology Service, Bedford VA Healthcare System, 200 Springs Rd, Bedford, MA, 01730, USA
- Geriatric Research Education and Clinical Center (GRECC), Bedford VA Healthcare System, Bedford, MA, USA
- Department of Neurology, Boston University, Boston, MA, USA
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Passmore SR, Longhurst C, Gerbitz A, Green-Harris G, Norris N, Edwards DF. "I Want to Know Everything ... ": The Return of Research Results and the Importance of Transparency in the Acceptability of Lumbar Punctures for African American Older Adults. J Alzheimers Dis 2023; 95:663-675. [PMID: 37574732 PMCID: PMC10637283 DOI: 10.3233/jad-230275] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/15/2023]
Abstract
BACKGROUND Although African Americans experience the highest risk of Alzheimer's disease (AD), they are dramatically underrepresented in preclinical biomarker research. This is especially true for studies involving lumbar puncture as it may involve more perceived risk even for those participants who are otherwise supportive of research. OBJECTIVE To understand the unique concerns of African American participants regarding biomarker studies involving lumbar puncture who demonstrate support for AD research. METHODS Study participants were African American adults contacted through an AD research registry. We employed a novel method used to create hypothetical research studies varying on a set number of factors. The method is designed to collect potential patterns in decision making regarding research participation but differs from experimental vignette design in that the survey is administered with an accompanying qualitive interview to determine the meaning participants ascribe to factors independently and in conjunction with one another. RESULTS Sixty-one participants each reviewed three randomly selected research scenarios and created their "ideal" study involving lumbar puncture. Scenario variables included: disclosure of research results, racial and ethnic identity of the researcher, recruitment method, and amount of incentive. CONCLUSION Findings indicate that transparency in the return of AD research results to be the strongest driver of participation, followed by race of the researcher and amount of incentive. Recruitment method had limited impact on hypothetical decision making.
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Affiliation(s)
- Susan Racine Passmore
- Collaborative Center for Health Equity, Institute for Clinical and Translational Research, School of Medicine and Public Health, University of Wisconsin, Madison, WI, USA
- School of Nursing, University of Wisconsin, Madison, WI, USA
| | - Colin Longhurst
- Department of Biostatistics and Medical Informatics, School of Medicine and Public Health, University of Wisconsin, Madison, WI, USA
| | - Abigail Gerbitz
- Collaborative Center for Health Equity, Institute for Clinical and Translational Research, School of Medicine and Public Health, University of Wisconsin, Madison, WI, USA
| | - Gina Green-Harris
- Center for Community Engagement and Health Partnerships, School of Medicine and Public Health, University of Wisconsin, Madison, WI, USA
- Department of Medicine, School of Medicine and Public Health, University of Wisconsin, Madison, WI, USA
| | - Nia Norris
- Department of Medicine, School of Medicine and Public Health, University of Wisconsin, Madison, WI, USA
- Wisconsin Alzheimer’s Institute, School of Medicine and Public Health, University of Wisconsin, Madison, WI, USA
| | - Dorothy Farrar Edwards
- Collaborative Center for Health Equity, Institute for Clinical and Translational Research, School of Medicine and Public Health, University of Wisconsin, Madison, WI, USA
- Department of Medicine, School of Medicine and Public Health, University of Wisconsin, Madison, WI, USA
- Department of Kinesiology, School of Education, University of Wisconsin, Madison, WI, USA
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Niedens M, Yeager A, Vidoni ED, Barton K, Perales-Puchalt J, Dealey RP, Quinn D, Gage LA. A Collaborative Approach to Dementia Inclusion in Social Work Education: The Dementia Intensive. JOURNAL OF SOCIAL WORK EDUCATION 2022; 59:493-505. [PMID: 37397072 PMCID: PMC10309142 DOI: 10.1080/10437797.2022.2039820] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 05/11/2021] [Indexed: 07/04/2023]
Abstract
There are 5.8 million Americans with Alzheimer's disease and this number is rising. Social Work can play a key role. Yet, like other disciplines, the field is ill prepared for the growing number of individuals and family members who are impacted physically, emotionally and financially. Compounding the challenge, the number of social work students identifying interest in the field is low. This mixed methods concurrent study assessed the preliminary efficacy of a day-long education event among social work students from eight social work programs. Pre- post-training survey included: 1) dementia knowledge, assessed with the Dementia Knowledge Assessment Scale, and 2) negative attitudes towards dementia, assessed by asking students to identify three words that reflected their thoughts on dementia, which were later rated as positive, negative or neutral by three external raters. Bivariate analyses showed that dementia knowledge (mean difference= 9.9) and attitudes (10% lower) improved from pre- to post-training (p<0.05). Collaboration between social work programs can increase student access to strength-based dementia education. Such programs hold the potential of improving dementia capability within the field of Social Work.
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Affiliation(s)
| | - Amy Yeager
- KU Alzheimer's Disease Research Center, Department of Neurology
| | - Eric D Vidoni
- KU Alzheimer's Disease Research Center, Department of Neurology
| | | | | | | | - Dory Quinn
- Pittsburg State University, Department of History, Philosophy & Social Sciences
| | - L Ashley Gage
- University of Central Missouri, Department of Social Work
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Aging in Place with Age-Related Cognitive Changes: The Impact of Caregiving Support and Finances. SOCIETIES 2021. [DOI: 10.3390/soc11020031] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
Abstract
In the United States, aging in place is a common concept that refers to older adults’ desire to remain in their homes as they age. However, this ability to age in place is a complex process that is not only impacted by the home’s accessibility or individual functional abilities. This paper aims to examine different factors, such as home environment and home modification, caregivers, finances, and other supports present in the participants’ lives, that impact older adults with age-related cognitive changes (ARCC) (in)ability to age in place. Qualitative interviews with older adults with ARCC (n = 5) and their caregivers (n = 5) were conducted. The participants’ experiences while aging in place indicate that finances and caregiving support greatly impacted their lives at home and ability to age in place. Personal finances dictated where some of the participants could age and the support, they could afford from home health aides. Additionally, informal and formal caregivers were an important source of support that aided in the older adults’ ability to remain home. As researchers, we need to continue to address personal finances and the support that the individual has in their lives to most effectively promote aging in place and their life at home.
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Croff R, Hedmann M, Barnes LL. Whitest City in America: A Smaller Black Community's Experience of Gentrification, Displacement, and Aging in Place. THE GERONTOLOGIST 2021; 61:1254-1265. [PMID: 33772304 DOI: 10.1093/geront/gnab041] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2020] [Indexed: 11/14/2022] Open
Abstract
BACKGROUND AND OBJECTIVES The influx of people with higher socioeconomic status into large Black communities is well documented; less is known regarding smaller, aging Black communities. Older Black adults in Portland, Oregon, among America's fastest gentrifying cities with the smallest metropolitan Black population, discussed barriers to healthy aging. Perspectives centered on the experience of gentrification, displacement, and its impact on social microsystems, place security, and aging in place. RESEARCH DESIGN AND METHODS One-time focus groups engaged 41 Black adults aged ≥45. A demographic survey included residence area/duration. Discussions were thematically coded. Ecological Systems Theory guided interpretation. RESULTS The majority of participants resided within gentrifying historically Black neighborhoods (89.2%), were aged ≥65 (54.6%), and lived in their neighborhood ≥21 years (24.3%). Emergent discussion themes were: Rise and fall of Black ownership; Displacement; Race-related stress; and Financial burden. Gentrification contributed to the dismantling of Black property ownership curated over generations, increased financial burden, and threatened place security. Physical displacement strained social networks, diminishing intergenerational neighborhood ties that supported aging in place. Cultural and physical displacement weakened sense of social cohesion and belonging, and induced race-related stressful interactions with new residents within original and relocation neighborhoods. DISCUSSION AND IMPLICATIONS Gentrification in the Pacific Northwest echoes national trends, uprooting critical close-proximity social networks and deteriorating motivation to engage in neighborhood-based social activity. Smaller, aging Black communities may be particularly vulnerable to these effects which critically impact aging in place. Data inform researchers and policymakers to better understand how gentrification affects smaller, aging Black communities.
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Affiliation(s)
- Raina Croff
- Layton Aging and Alzheimer's Disease Center, Oregon Health & Science University, Portland, Oregon, USA
| | - Monique Hedmann
- Department of Family Medicine, Harbor-UCLA Medical Center, Torrance, California, USA
| | - Lisa L Barnes
- Rush Alzheimer's Disease Center, Rush University Medical Center, Chicago, Illinois, USA
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Boltz M, BeLue R, Resnick B, Kuzmik A, Galik E, Jones JR, Arendacs R, Sinvani L, Mogle J, Galvin JE. Disparities in Physical and Psychological Symptoms in Hospitalized African American and White Persons with Dementia. J Aging Health 2020; 33:340-349. [PMID: 33371763 DOI: 10.1177/0898264320983210] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Objectives: This study examined differences in physical function, delirium, depressive symptoms, and behavioral and psychological symptoms of dementia (BPSD) in hospitalized African American and white older adults with dementia. Methods: This secondary data analysis using baseline data from an ongoing trial testing family-centered function-focused care included African American (n = 159) and white persons (n =135) with dementia. Results: A multivariate analysis of covariance showed that controlling for relevant demographic and health characteristics, African Americans with dementia had lower physical function, more delirium, and more depressive symptoms upon admission than white participants. There were no significant differences in BPSD between African American and white persons. Discussion: To our knowledge, this is the first study to examine racial differences in admission symptoms of hospitalized persons with dementia. While the findings are preliminary, they can be used to inform the design of future research, including identifying the causes of disparities.
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Affiliation(s)
- Marie Boltz
- College of Nursing, 311285The Pennsylvania State University, University Park, PA, USA
| | | | - Barbara Resnick
- School of Nursing, 12265University of Maryland, Baltimore, MD, USA
| | - Ashley Kuzmik
- College of Nursing, 311285The Pennsylvania State University, University Park, PA, USA
| | - Elizabeth Galik
- School of Nursing, 12265University of Maryland, Baltimore, MD, USA
| | - Joanne R Jones
- College of Nursing, 311285The Pennsylvania State University, University Park, PA, USA
| | - Rachel Arendacs
- College of Nursing, 311285The Pennsylvania State University, University Park, PA, USA
| | - Liron Sinvani
- Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY, USA
| | - Jacqueline Mogle
- Center for Healthy Aging, 311285The Pennsylvania State University, University Park, PA, USA
| | - James E Galvin
- Cognitive Disorder Division, 5452University of Miami, Coral Gables, FL, USA
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Raeesi Dehkordi F, Eslami AA, Zamani Alavijeh F, Matlabi H. Gerotranscendence and active aging: the lived experience. JOURNAL OF RELIGION, SPIRITUALITY & AGING 2020. [DOI: 10.1080/15528030.2020.1770662] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/29/2022]
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Owens OL, Beer JM, Revels AA, White K. The Lived Experiences of Older Low-Income African Americans Living Alone: Implications for Aging in Place in the United States. JOURNAL OF AGING AND ENVIRONMENT 2020. [DOI: 10.1080/26892618.2020.1780662] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Affiliation(s)
- Otis L. Owens
- College of Social Work, University of South Carolina, Columbia, SC, USA
| | - Jenay M. Beer
- College of Public Health and School of Social Work, University of Georgia, Athens, GA, USA
| | - Asa A. Revels
- Department of Health Promotion, Education, and Behavior, University of South Carolina, Columbia, SC, USA
| | - Kellee White
- School of Public Health, University of Maryland, College, MD, USA
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McLennon SM, Anderson JG, Epps F, Rose KM. "It's just part of life": African American daughters caring for parents with dementia. J Women Aging 2018; 32:168-182. [PMID: 30457489 DOI: 10.1080/08952841.2018.1547002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
The purpose of this study was to gain a greater understanding of the experiences of African American daughters caring for parents with Alzheimer's disease or a related dementia (ADRD). In this secondary analysis of a subset (N = 12) of the sample from a previous study, daughters averaged 54 years of age and were caring for parents with moderate to severe ADRD. Results revealed two main categories: Caregiver Concerns and Caregiver Coping. Subcategories included challenging behaviors, social aspects, integration, and family culture and values. Findings offer insight into cultural factors relevant to practice along with research recommendations.
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Affiliation(s)
- Susan M McLennon
- College of Nursing, University of Tennessee, Knoxville, Tennessee, USA
| | - Joel G Anderson
- College of Nursing, University of Tennessee, Knoxville, Tennessee, USA
| | - Fayron Epps
- Byrdine F. Lewis College of Nursing and Health Professions, Georgia State University, Atlanta, Georgia, USA
| | - Karen M Rose
- College of Nursing, University of Tennessee, Knoxville, Tennessee, USA
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