Achieving Ecological Validity of Occupation-Based Interventions for Healthy Aging
| Autor: | Elsa M. Orellano-Colón, Guillermo Bernal, Nelson Varas-Díaz, Gail A. Mountain |
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| Rok vydání: | 2014 |
| Předmět: | |
| Zdroj: | Physical & Occupational Therapy In Geriatrics. 32:368-380 |
| ISSN: | 1541-3152 0270-3181 |
| DOI: | 10.3109/02703181.2014.955623 |
| Popis: | Aim: To develop a culturally sensitive occupation-based health promo- tion intervention for older Hispanic adults who live alone. Methods: We used a mixed method design for the content validation of the intervention and the Ecological Validity Model (EVM) to culturally center the intervention. In the quantitative phase, aging ex- perts as well as community members from two activity centers for the elderly in Puerto Rico completed a content validity ratio exercise. In the qualitative phase, we conducted three focus groups with these participants. Data analysis included content validity ra- tio and a directed content analysis. Results: This resulted in a working version of the intervention protocol addressing the eight dimensions of the EVM. Conclusions: The EVM can be used to culturally center preventive interventions to other ethnic minor- ity groups to augment the external validity and cultural competence of interventions. Future research must test the feasibility of this new intervention. Hispanics, 65 years and older, living in Puerto Rico have a twofold higher rate of in- dependent living disabilities (33.9%) as compared to older adults (OA) living in the U.S. (17.2%), highlighting a persistent and growing health disparity (Rehabilitation Research and Training Center on Disability Statistics and Demographics, 2011). Living alone in old age aggravates existing health disparities by increasing the risks of experiencing functional decline, as compared to those living with others, due to higher levels of falls, disabilities, inactivity, depression, and social risks (Kharicha et al., 2007). These disparities will continue to grow if occupational therapists do not address important challenges to health care faced by Hispanic elders, the Na- tional largest minority group, such as cultural and language barriers. Since cultural and contextual considerations influence treatment outcomes, (Bernal et al., 2012) |
| Databáze: | OpenAIRE |
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