Improving Health-Related Quality of Life in Older African-Americans and non-Latino Whites
Identifieur interne : 002806 ( Main/Exploration ); précédent : 002805; suivant : 002807Improving Health-Related Quality of Life in Older African-Americans and non-Latino Whites
Auteurs : Daniel E. Jimenez ; Amy Begley ; Stephen J. Bartels ; Margarita Alegría ; Stephen B. Thomas [États-Unis] ; Sandra C. Quinn [États-Unis] ; Charles F. ReynoldsSource :
- The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry [ 1064-7481 ] ; 2014.
Descripteurs français
- KwdFr :
- MESH :
English descriptors
- KwdEn :
- MESH :
- methods : Diet, Health Promotion, Psychotherapy.
- physiology : Problem Solving.
- prevention & control : Depression.
- African Americans, Aged, European Continental Ancestry Group, Female, Health Status, Humans, Male, Middle Aged, Quality of Life, Treatment Outcome.
Abstract
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 Whites and African-Americans between the two interventions. This paper also explores participant characteristics (problem solving style and physical functioning) as potential predictors of HRQOL.
Secondary analysis of data from a randomized depression prevention trial involving 247 older adults (154 non-Latino Whites, 90 African-Americans, 3 Asians). Participants were randomly assigned to receive either problem solving therapy for primary care (PST-PC) or coaching in healthy dietary practices (DIET).
Both PST-PC and DIET improved HRQOL over two years and did not differ significantly from each other. African-Americans in both conditions had greater improvements in mental health-related quality of life (MHRQOL) compared to non-Latino Whites. In addition, higher social problem solving and physical functioning were predictive of improved MHRQOL.
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.
Url:
DOI: 10.1016/j.jagp.2014.08.001
PubMed: 25171889
PubMed Central: 4320681
Affiliations:
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Le document en format XML
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>African Americans</term>
<term>Aged</term>
<term>Depression (prevention & control)</term>
<term>Diet (methods)</term>
<term>European Continental Ancestry Group</term>
<term>Female</term>
<term>Health Promotion (methods)</term>
<term>Health Status</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Problem Solving (physiology)</term>
<term>Psychotherapy (methods)</term>
<term>Quality of Life</term>
<term>Treatment Outcome</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen</term>
<term>Afro-Américains</term>
<term>Dépression ()</term>
<term>Femelle</term>
<term>Humains</term>
<term>Mâle</term>
<term>Population d'origine européenne</term>
<term>Promotion de la santé ()</term>
<term>Psychothérapie ()</term>
<term>Qualité de vie</term>
<term>Régime alimentaire ()</term>
<term>Résolution de problème (physiologie)</term>
<term>Résultat thérapeutique</term>
<term>Sujet âgé</term>
<term>État de santé</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Diet</term>
<term>Health Promotion</term>
<term>Psychotherapy</term>
</keywords>
<keywords scheme="MESH" qualifier="physiologie" xml:lang="fr"><term>Résolution de problème</term>
</keywords>
<keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Problem Solving</term>
</keywords>
<keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Depression</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>African Americans</term>
<term>Aged</term>
<term>European Continental Ancestry Group</term>
<term>Female</term>
<term>Health Status</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Quality of Life</term>
<term>Treatment Outcome</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term>
<term>Afro-Américains</term>
<term>Dépression</term>
<term>Femelle</term>
<term>Humains</term>
<term>Mâle</term>
<term>Population d'origine européenne</term>
<term>Promotion de la santé</term>
<term>Psychothérapie</term>
<term>Qualité de vie</term>
<term>Régime alimentaire</term>
<term>Résultat thérapeutique</term>
<term>Sujet âgé</term>
<term>État de santé</term>
</keywords>
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<front><div type="abstract" xml:lang="en"><sec id="S1"><title>Objective</title>
<p id="P1">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 Whites and African-Americans between the two interventions. This paper also explores participant characteristics (problem solving style and physical functioning) as potential predictors of HRQOL.</p>
</sec>
<sec id="S2"><title>Methods</title>
<p id="P2">Secondary analysis of data from a randomized depression prevention trial involving 247 older adults (154 non-Latino Whites, 90 African-Americans, 3 Asians). Participants were randomly assigned to receive either problem solving therapy for primary care (PST-PC) or coaching in healthy dietary practices (DIET).</p>
</sec>
<sec id="S3"><title>Results</title>
<p id="P3">Both PST-PC and DIET improved HRQOL over two years and did not differ significantly from each other. African-Americans in both conditions had greater improvements in mental health-related quality of life (MHRQOL) compared to non-Latino Whites. In addition, higher social problem solving and physical functioning were predictive of improved MHRQOL.</p>
</sec>
<sec id="S4"><title>Conclusions</title>
<p id="P4">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.</p>
</sec>
</div>
</front>
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<tree><noCountry><name sortKey="Alegria, Margarita" sort="Alegria, Margarita" uniqKey="Alegria M" first="Margarita" last="Alegría">Margarita Alegría</name>
<name sortKey="Bartels, Stephen J" sort="Bartels, Stephen J" uniqKey="Bartels S" first="Stephen J." last="Bartels">Stephen J. Bartels</name>
<name sortKey="Begley, Amy" sort="Begley, Amy" uniqKey="Begley A" first="Amy" last="Begley">Amy Begley</name>
<name sortKey="Jimenez, Daniel E" sort="Jimenez, Daniel E" uniqKey="Jimenez D" first="Daniel E." last="Jimenez">Daniel E. Jimenez</name>
<name sortKey="Reynolds, Charles F" sort="Reynolds, Charles F" uniqKey="Reynolds C" first="Charles F." last="Reynolds">Charles F. Reynolds</name>
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<country name="États-Unis"><region name="Maryland"><name sortKey="Thomas, Stephen B" sort="Thomas, Stephen B" uniqKey="Thomas S" first="Stephen B." last="Thomas">Stephen B. Thomas</name>
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<name sortKey="Quinn, Sandra C" sort="Quinn, Sandra C" uniqKey="Quinn S" first="Sandra C." last="Quinn">Sandra C. Quinn</name>
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