Improving Health-related Quality of Life in Older African American and Non-Latino White Patients

Overview

Journal Am J Geriatr Psychiatry

Publisher Elsevier

Specialty Geriatrics

Date 2014 Aug 31

PMID 25171889

Citations 10

Authors

Daniel E Jimenez

Amy Begley

Stephen J Bartels

Margarita Alegria

Stephen B Thomas

Sandra C Quinn

Charles F Reynolds 3rd

Affiliations

Soon will be listed here.

Abstract

Objective: To compare the effect of problem-solving therapy against a health-promotion intervention (dietary practices) on health-related quality of life (HRQOL) and examine if there is a differential effect on non-Latino white patients and African American patients between the two interventions. This paper also explores participant characteristics (problem-solving style and physical functioning) as potential predictors of HRQOL.

Methods: Secondary analysis of data from a randomized depression prevention trial involving 247 older adults (154 non-Latino white, 90 African American, 3 Asian). Participants were randomly assigned to receive either problem solving therapy for primary care (PST-PC) or coaching in healthy dietary practices (DIET).

Results: Both PST-PC and DIET improved HRQOL over two years and did not differ significantly from each other. African American patients in both conditions had greater improvements in mental health-related quality of life (MHRQOL) compared with non-Latino white patients. In addition, higher social problem-solving and physical functioning were predictive of improved MHRQOL.

Conclusion: PST-PC and DIET have the potential to improve health-related quality of life in a culturally relevant manner. Both hold promise as effective and potentially scalable interventions that could be generalized to highly disadvantaged populations in which little attention to HRQOL has been paid.

Citing Articles

You gotta walk the walk to talk the talk: protocol for a feasibility study of the Happy Older Latino Adults (HOLA) health promotion intervention for older HIV-positive Latino men.

Jimenez D, Weinstein E, Batsis J Pilot Feasibility Stud. 2023; 9(1):32.

PMID: 36855194 PMC: 9972624. DOI: 10.1186/s40814-023-01262-w.

Centering Culture in Mental Health: Differences in Diagnosis, Treatment, and Access to Care Among Older People of Color.

Jimenez D, Park M, Rosen D, Joo J, Martinez Garza D, Weinstein E Am J Geriatr Psychiatry. 2022; 30(11):1234-1251.

PMID: 35914985 PMC: 9799260. DOI: 10.1016/j.jagp.2022.07.001.

The role of sense of community in improving the health-related quality of life among Black Americans.

Wippold G, Garcia K, Frary S J Community Psychol. 2022; 51(1):251-269.

PMID: 35700438 PMC: 9742166. DOI: 10.1002/jcop.22901.

"Me Dieron Vida": The Effects of a Pilot Health Promotion Intervention to Reduce Cardiometabolic Risk and Improve Behavioral Health among Older Latinos with HIV.

Jimenez D, Weinstein E, Batsis J Int J Environ Res Public Health. 2022; 19(5).

PMID: 35270360 PMC: 8910201. DOI: 10.3390/ijerph19052667.

Targeted eHealth Intervention to Reduce Breast Cancer Survivors' Fear of Recurrence: Results From the FoRtitude Randomized Trial.

Wagner L, Tooze J, Hall D, Levine B, Beaumont J, Duffecy J J Natl Cancer Inst. 2021; 113(11):1495-1505.

PMID: 34057469 PMC: 8244801. DOI: 10.1093/jnci/djab100.

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