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Improving Health-Related Quality of Life in Older African-Americans and non-Latino Whites

Identifieur interne : 002806 ( Main/Exploration ); précédent : 002805; suivant : 002807

Improving 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. Reynolds

Source :

RBID : PMC:4320681

Descripteurs français

English descriptors

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 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.

Methods

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).

Results

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.

Conclusions

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:


Links toward previous steps (curation, corpus...)


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</sec>
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<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>
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<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>
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