Evaluation of Public Health Messages Promoting Early Detection of Dementia Among Adult Latinos With a Living Older Adult Parental Figure

Abstract

Introduction:

We aimed to evaluate the resonance of public health messages promoting early detection of dementia in adult Latinos with a living older adult loved one.

Method:

We conducted a mixed-methods study with focus groups and surveys to evaluate eight messages encouraging Latino adults to accompany their older loved one for cognitive assessment. Qualitative data were transcribed and coded, and thematic analysis was conducted. We used descriptive statistics for quantitative data.

Results:

Participants suggested that messages need to be translated into Spanish and images need to be more natural, present balance between positive and serious facial expressions, show more ethnic/racial diversity, and show family members other than the parents. Five major sociocultural themes affected how the messages were received: stigma, gender roles, the importance of the mother figure, guilt, and family togetherness.

Conclusion:

Public health messages targeting cultural values are needed to effectively encourage early dementia detection in Latinos. Findings can be used to adapt culturally appropriate public health messages encouraging early dementia detection in Latinos.

Keywords

Alzheimer’s disease health communication public health messages dementia early detection Latinos

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References

Alzheimer’s Association. (2017, August). Early detection and diagnosis of Alzheimer’s dementia (Policy Brief). https://act.alz.org/site/DocServer/Policy_Brief_-_Early_Detection_and_Diagnosis_Brief__Assn.pdf?docID=53576

Alzheimer’s Association. (2018). 2018 Alzheimer’s disease facts and figures. Alzheimer’s & Dementia, 14(3), 367–429. https://doi.org/10.1016/j.jalz.2018.02.001

Alzheimer’s Association & Centers for Disease Control and Prevention. (2018). Healthy Brain Initiative, State and Local Public Health Partnerships to Address Dementia: The 2018-2023 Road Map. https://www.cdc.gov/aging/pdf/2018-2023-Road-Map-508.pdf

Angen

M. J.

(2000). Evaluating interpretive inquiry: Reviewing the validity debate and opening the dialogue. Qualitative Health Research, 10(3), 378–395. https://doi.org/10.1177/104973230001000308

Aranda

M. P.

Knight

B. G.

(1997). The influence of ethnicity and culture on the caregiver stress and coping process: A sociocultural review and analysis. The Gerontologist, 37(3), 342–354. https://doi.org/10.1093/geront/37.3.342

Ayalon

Areán

P. A.

(2004). Knowledge of Alzheimer’s disease in four ethnic groups of older adults. International Journal of Geriatric Psychiatry, 19(1), 51–57. https://doi.org/10.1002/gps.1037

Babulal

G. M.

Quiroz

Y. T.

Albensi

B. C.

Arenaza-Urquijo

Astell

A. J.

Babiloni

Bahar-Fuchs

Bell

Bowman

G. L.

Brickman

A. M.

Chételat

Ciro

Cohen

A. D.

Dilworth-Anderson

Dodge

H. H.

Dreux

Edland

Esbensen

Evered

… O’Bryant

S. E

. (2019). Perspectives on ethnic and racial disparities in Alzheimer’s disease and related dementias: Update and areas of immediate need. Alzheimer’s & Dementia, 15(2), 292–312. https://doi.org/10.1016/j.jalz.2018.09.009

Borrayo

E. A.

Goldwaser

Vacha-Haase

Hepburn

K. W.

(2007). An inquiry into Latino caregivers’ experience caring for older adults with Alzheimer’s disease and related dementias. Journal of Applied Gerontology, 26(5), 486–505. https://doi.org/10.1177/0733464807305551

Braun

Clarke

(2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77–101. https://doi.org/10.1191/1478088706qp063oa

10.

Campbell

J. L.

Quincy

Osserman

Pedersen

O. K.

(2013). Coding in-depth semistructured interviews: Problems of unitization and intercoder reliability and agreement. Sociological Methods & Research, 42(3), 294–320. https://doi.org/10.1177/0049124113500475

11.

Chin

A. L.

Negash

Hamilton

(2011). Diversity and disparity in dementia: The impact of ethnoracial differences in Alzheimer’s disease. Alzheimer Disease & Associated Disorders, 25(3), 187–195. https://doi.org/10.1097/WAD.0b013e318211c6c9

12.

Clark

P. C.

Kutner

Ã. N. G.

Goldstein

F. C.

Peterson-Hazen

Garner

Zhang

Ã. R.

Bowles

(2017). Impediments to timely diagnosis of Alzheimer’s disease in African Americans. Journal of American Geriatrics Society, 53(11), 2012–2017. https://doi.org/10.1111/j.1532-5415.2005.53569.x

13.

Coon

Gallagher-Thompson

Solano

Areán

(2003). Recruitment and retention of Latino dementia family caregivers in intervention research: Issues to face, lessons to learn. The Gerontologist, 43(1), 45–51.

14.

Cooper

Tandy

A. R.

Balamurali

T. B. S.

Livingston

(2010). A systematic review and meta-analysis of ethnic differences in use of dementia treatment, care, and research. American Journal of Geriatric Psychiatry, 18(3), 193–203. https://doi.org/10.1097/JGP.0b013e3181bf9caf

15.

Creswell

. (2014). Research design: Qualitative, quantitative, and mixed methods approaches (4th ed.). Sage.

16.

Ferguson

Barg

Augsburger

Nunez

Karlawish

(2005). Genes or stress? Ethnic perceptions about the causes of Alzheimers Disease. Alzheimer’s & Dementia, 1(Suppl. 1), S54. https://doi.org/10.1016/j.jalz.2005.06.120

17.

Fishbein

Cappella

J. N.

(2006). The role of theory in developing effective health communications. Journal of Communication, 56(Suppl. 1), S1–S17. https://doi.org/10.1111/j.1460-2466.2006.00280.x

18.

Flores

Y. G.

Hinton

Barker

J. C.

Franz

C. E.

Velasquez

(2009). Beyond familism: Ethics of care of Latina caregivers of elderly parents with dementia. Health Care for Women International, 30(12), 1055–1072. https://doi.org/10.1080/07399330903141252

19.

Gelman

C. R.

(2014). Familismo and its impact on the family caregiving of Latinos with Alzheimer’s disease: A complex narrative. Research on Aging, 36(1), 40–71. https://doi.org/10.1177/0164027512469213

20.

The Gerontological Society of America. (2017). KAER Toolkit: 4-Step process to detecting cognitive impairment and earlier diagnosis of dementia.

21.

Gray

H. L.

Jimenez

D. E.

Cucciare

M. A.

Tong

Gallagher-Thompson

(2009). Ethnic differences in beliefs regarding Alzheimer disease among dementia family caregivers. American Journal of Geriatric Psychiatry, 17(11), 925–933. https://doi.org/10.1097/JGP.0b013e3181ad4f3c

22.

Harwood

D. G.

Barker

W. W.

Ownby

R. L.

Bravo

Aguero

Duara

. (2000). Predictors of positive and negative appraisal among Cuban American caregivers of Alzheimer’s disease patients. International Journal of Geriatric Psychiatry, 15(6), 481–487. https://doi.org/10.1002/1099-1166(200006)15:6<481::AID-GPS984>3.0.CO;2-J

23.

Henderson

J. N.

Guitierrez-Mayka

(1992). Ethnocultural themes in caregiving to Alzheimer’s disease patients in Hispanic families. Clinical Gerontologist, 11(3-4), 59–74. https://doi.org/10.1300/J018v11n03_05

24.

Hughes

Tyler

Danner

(2009). African American caregivers: An exploration of pathways and barriers to a diagnosis of Alzheimer’s disease for a family member with dementia. Dementia, 8(1), 95–116. https://doi.org/10.1177/1471301208099048

25.

Jimenez

D. E.

Bartels

S. J.

Cardenas

Alegría

(2013). Stigmatizing attitudes toward mental illness among racial/ethnic older adults in primary care. International Journal of Geriatric Psychiatry, 28(10), 1061–1068. https://doi.org/10.1002/gps.3928

26.

Jordan

Bleakley

Harkins

Hailu

T., K., C.

Hachey

Karlawish

. (2019). “Together make a visit; Together make a plan”: Messaging to adult children with concerns about a parent’s memory loss. Health Communication. Advance online publication. https://doi.org/10.1080/10410236.2019.1570428

27.

Kenning

Daker-White

Blakemore

Panagioti

Waheed

(2017). Barriers and facilitators in accessing dementia care by ethnic minority groups: A meta-synthesis of qualitative studies. BMC Psychiatry, 17(1), Article 316. https://doi.org/10.1186/s12888-017-1474-0

28.

Lincoln

Guba

E. G

. (1985). Naturalistic inquiry. Sage.

29.

Livney

M. G.

Clark

C. M.

Karlawish

J. H.

Cartmell

Negrón

Nuñez-Lopez

Arnold

S. E.

(2011). Ethnoracial differences in the clinical characteristics of Alzheimer’s disease at initial presentation at an urban Alzheimer’s disease center. American Journal of Geriatric Psychiatry, 19(5), 430–439. https://doi.org/10.1097/JGP.0b013e3181f7d881

30.

Marquez

J. A.

Ramírez García

J. I.

(2013). Family caregivers’ narratives of mental health treatment usage processes by their Latino adult relatives with serious and persistent mental illness. Journal of Family Psychology, 27(3), 398–408. https://doi.org/10.1037/a0032868

31.

Mendez-Luck

C. A.

Anthony

K. P.

(2015). Marianismo and caregiving role beliefs among U.S.-born and immigrant Mexican women. Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 71(5), 926–935. https://doi.org/10.1093/geronb/gbv083

32.

Moyer

V. A.

(2014). Screening for cognitive impairment in older adults: U.S. Preventive Services Task Force recommendation statement. Annals of Internal Medicine, 160(11), 791–798. https://doi.org/10.7326/M14-0496

33.

Nowell

L. S.

Norris

J. M.

White

D. E.

Moules

N. J.

(2017). Thematic analysis: Striving to meet the trustworthiness criteria. International Journal of Qualitative Methods, 16(1), 1–13. https://doi.org/10.1177/1609406917733847

34.

Ortman

J. M.

Velkoff

V. A.

Hogan

(2014). An aging nation: the older population in the United States (pp. 25–1140). United States Census Bureau, Economics and Statistics Administration, US Department of Commerce.

35.

Palinkas

L. A.

Aarons

G. A.

Horwitz

Chamberlain

Hurlburt

Landsverk

(2011). Mixed method designs in implementation research. Administration and Policy in Mental Health, 38(1), 44–53. https://doi.org/10.1007/s10488-010-0314-z

36.

Resnicow

Baranowski

Ahluwalia

J. S.

Braithwaite

R. L.

(1999). Cultural sensitivity in public health defined and demystified. Ethnicity & Disease, 9(1), 10–21.

37.

Suarez-Balcazar

Early

Maldonado

Garcia

C. P.

Arias

Zeidman

Agudelo-Orozco

(2018). Community-based participatory research to promote healthy lifestyles among Latino immigrant families with youth with disabilities. Scandinavian Journal of Occupational Therapy, 25(5), 396–406. https://doi.org/10.1080/11038128.2018.1502348

38.

Teddlie

Tashakkori

. (2009). Foundations of mixed methods research: Integrating quantitative and qualitative approaches in the social and behavioral sciences. Sage.

39.

Wolff

J. L.

Roter

D. L.

(2019). Hidden in plain sight: Medical visit companions as a resource for vulnerable older adults. Archives of Internal Medicine, 168(13), 1409–1415. https://doi.org/10.1001/archinte.168.13.1409

40.

Vega

W. A.

Resendez

Jin

(2016). Latinos & Alzheimer’s disease: New numbers behind the crisis. http://www.usagainstalzheimers.org/sites/default/files/Latinos-and-AD_USC_UsA2-Impact-Report.pdf

41.

Zea

Quezada

Belgrave

F. Z.

(1994). Latino cultural values: Their role in adjustment. Journal of Social Behavior and Personality, 9(5), 185–200.

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