Building connection and improving health for Indigenous elders: Findings from the Title VI evaluation
Background As the older Indigenous population in the United States expands, there is a growing demand for programs to address age‐related needs. Although Title VI of the OAA provides culturally responsive strategies to support elders through home‐ and community‐based nutrition services, these progra...
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Veröffentlicht in: | Journal of the American Geriatrics Society (JAGS) 2022-05, Vol.70 (5), p.1525-1537 |
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Format: | Artikel |
Sprache: | eng |
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Zusammenfassung: | Background
As the older Indigenous population in the United States expands, there is a growing demand for programs to address age‐related needs. Although Title VI of the OAA provides culturally responsive strategies to support elders through home‐ and community‐based nutrition services, these programs have not been the subject of a national evaluation; our study is the first.
Methods
We conducted a mixed‐methods study to assess the impact of the Title VI programs on elders. We used quantitative data from a national survey of Indigenous elders (n = 1175) and qualitative data collected through interviews (n = 36) and focus groups (18, n = 161) with a subgroup of elders receiving services. We compared outcomes for social and cultural connectedness and physical and mental well‐being for different subgroups within our sample of elders based on elders' use of Title VI services and the level of services provided to these elders. Results were adjusted for community characteristics.
Results
Elders receiving Title VI services had significantly fewer hospitalizations and falls per year (hospitalizations: 0.9 vs. 1.2, p |
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ISSN: | 0002-8614 1532-5415 |
DOI: | 10.1111/jgs.17761 |