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Understanding the implementation and sustainability needs of evidence-based programs for racial and ethnic minoritized older adults in under-resourced communities with limited aging services.
Castellon-Lopez, Yelba; Carson, Savanna L; Ward, Katherine T; Ramirez, Karina D; Vo, Lynn Phan; Kuo, Tony; Seeman, Teresa; Vassar, Stefanie D; Trejo, Laura; Eidem, Ellen; Aranda, María P; Brown, Arleen F.
Afiliación
  • Castellon-Lopez Y; Department of Biomedical Sciences, Cedars-Sinai Medical Center, Cancer Research Center for Health Equity, Samuel Oschin Comprehensive Cancer Institute, Los Angeles, CA, USA. yelba.castellon-lopez@cshs.org.
  • Carson SL; Department of Medicine, Division of General Internal Medicine-Health Services Research, David Geffen School of Medicine, University of California, Los Angeles, CA, USA.
  • Ward KT; Department of Medicine, Section of Geriatrics, LAC/Harbor-UCLA Medical Center, Torrance, CA, USA.
  • Ramirez KD; Department of Medicine, Division of Geriatrics, David Geffen School of Medicine, University of California, Los Angeles, CA, USA.
  • Vo LP; Department of Medicine, Division of General Internal Medicine-Health Services Research, David Geffen School of Medicine, University of California, Los Angeles, CA, USA.
  • Kuo T; Department of Family Medicine, David Geffen School of Medicine, University of California, Los Angeles, CA, USA.
  • Seeman T; Department of Epidemiology, UCLA Fielding School of Public Health, Los Angeles, CA, USA.
  • Vassar SD; Los Angeles County Department of Public Health, Los Angeles, CA, USA.
  • Trejo L; Department of Geriatrics, David Geffen School of Medicine, University of California, Los Angeles, CA, USA.
  • Eidem E; Department of Medicine, Division of General Internal Medicine-Health Services Research, David Geffen School of Medicine, University of California, Los Angeles, CA, USA.
  • Aranda MP; Los Angeles County Aging and Disabilities Department, Los Angeles, CA, USA.
  • Brown AF; Los Angeles County Department of Public Health, Los Angeles, CA, USA.
BMC Health Serv Res ; 24(1): 466, 2024 Apr 13.
Article en En | MEDLINE | ID: mdl-38614988
ABSTRACT

BACKGROUND:

Evidence-based programs (EBPs) for older adults effectively improve health outcomes. However, there is a limited understanding of the unique needs of service providers as they consider adopting, implementing, and maintaining programs for older minority adults in low-income communities with limited aging services.

METHODS:

We conducted semi-structured interviews with key informants of community-based organizations (CBOs) to understand implementation and sustainability needs of CBOs within four racial and ethnically diverse Los Angeles County geographic areas. We performed thematic analysis of interview transcripts.

RESULTS:

Interviews were conducted with representatives from 25 senior-serving agencies providing aging-related EBPs. CBO representatives reported implementing EBPs in 8 domains Falls Prevention (68%), Mental Health (64%), Caregiver Health (48%), Chronic Disease Management (48%), Diabetes Management (36%), Arthritis Management (28%), Physical Activity (24%), and Multiple Conditions Management (8%). Themes are presented using the six domains of the Bass and Judge framework for factors impacting successful and sustained EBP implementation. CBOs in low-income and diverse communities described unique challenges with tailoring interventions based on local community context (literacy, language), cultural context, and locally available resources (technology, safe community spaces, transportation) and faced resource-intensive administrative burdens through staff turnover, data collection, sustainable funding, and networking.

CONCLUSIONS:

Serving racial and ethnic communities has unique challenges that require tailored approaches and additional resources to ensure equitable access to EBPs for all communities. We describe suggestions for enhancing the effective adoption of EBPs among service agencies in under-resourced and diverse aging communities serving populations with aging-related health disparities.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Artritis / Grupos Raciales Límite: Aged / Humans Idioma: En Revista: BMC Health Serv Res Asunto de la revista: PESQUISA EM SERVICOS DE SAUDE Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Artritis / Grupos Raciales Límite: Aged / Humans Idioma: En Revista: BMC Health Serv Res Asunto de la revista: PESQUISA EM SERVICOS DE SAUDE Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido