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- W2896084395 abstract "The rapid aging and diversification of the United States presents a significant challenge for our healthcare system. Age and race are two demographic factors strongly associated with elevated risk for developing chronic cardiometabolic conditions (CMC) i.e., diabetes and hypertension; and cognitive disorders, including mild cognitive impairment (MCI), and Alzheimer's disease and related dementias (ADRD). An estimated three in four older Americans manages one or more chronic conditions, and African-American communities face additional burdens in self-management, relating to long-standing racial inequalities, and greater risk for cognitive impairments. Combined, these factors compound the difficulty of health management. Improving self-management of CMCs in the African American community may offer both short and long-term solutions, including improved health status, reduced ADRD risk, and increased equity in aging populations. The purpose of this study is to investigate the experiences of a sample of older African American adults with multiple chronic illnesses who participated in the Living Well Together (LWT) intervention, in order to: 1) determine the feasibility and acceptability of the program and its modifications and 2) identify other key elements influencing participation in health self-management programs. To specifically address challenges facing aging African Americans, the research team adapted the Chronic Disease Self-Management Program (CDSMP); incorporating three culturally relevant modifications (i.e., race-concordant leaders, weekly home visits, and inclusion of care partners) to create LWT; a novel, strengths-based approach specifically designed to simultaneously address the synergistic effects of memory disorders, chronic illness, and racial inequalities on health self-management. Qualitative content analysis was employed to examine perceptions of the LWT program and modifications, as well explore other key factors influencing African Americans’ engagement in the program. Results indicate that the combination of CDSMP curriculum and modifications was feasible and acceptable to the target population. Social support received from intervention leaders and “memory partners”, were noted as key to participant's ability to remain engaged in the program, and to participate in self-management behaviors. LWT offers an appropriate and acceptable framework for developing future health self-management interventions targeted for older African American adults." @default.
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- W2896084395 date "2018-07-01" @default.
- W2896084395 modified "2023-10-16" @default.
- W2896084395 title "P3‐626: THE LIVING WELL TOGETHER PROGRAM: A QUALITATIVE ANALYSIS OF A HEALTH SELF‐MANAGEMENT PROGRAM FOR AGING AFRICAN AMERICANS WITH CHRONIC ILLNESS" @default.
- W2896084395 doi "https://doi.org/10.1016/j.jalz.2018.06.1993" @default.
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