Involving Rural, Older African Americans and Their Female Informal Caregivers in Research

Chadiha, Letha A.; Morrow‐Howell, Nancy; Proctor, Enola K.; Picot, Sandra J.; Gillespie, Danette C.; Pandey, Pramod Kumar; Dey, Alicia

doi:10.1177/0898264304268147

Cited by 19 publications

(20 citation statements)

References 13 publications

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“…38 Moreover, we were able to recruit patients from rural locales, a success that is invaluable for involving geographically underserved populations in research. 39 Our inclusion of the open-ended “diabetes-need” question was an additional strength. Participants’ responses to this question provided greater insight into factors that influence diabetes self-care than would have been possible using the SDSCA, PAID, or CES-D alone.…”

Section: Discussionmentioning

confidence: 99%

Diabetes and Psychological Profile of Younger Rural African American Women with Type 2 Diabetes

Miller¹

2011

Journal of Health Care for the Poor and Underserved

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Purpose To describe diabetes self-care behaviors, diabetes-related distress, depressive symptoms, and diabetes-related needs among rural African American women with type 2 diabetes ages 21–50. Methods A cross-sectional survey, including questionnaires and a single, open-ended question, was used to assess constructs of interest. Findings Taking medication was the most frequently reported (5.5 days/week) self-care activity and exercise the least (3.0 days/week). Nearly half (44%) reported worrying about diabetes complications. Approximately one-third (31%) felt guilty about inconsistent self-care or fearful about living with diabetes. Seventy percent had a depression score suggestive of significant depressive symptomatology. Most diabetes-related concerns were about diet (34%) (i.e., what to eat), exercise (30%), taking medications (10%), and finances (8%). Conclusions Future research should explore specific diabetes self-care barriers/enablers and interventions should provide women with diabetes education, barrier management, and psychological support. Innovative delivery strategies are needed to provide this support in resource-limited rural communities.

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Section: Discussionmentioning

confidence: 99%

Diabetes and Psychological Profile of Younger Rural African American Women with Type 2 Diabetes

Miller¹

2011

Journal of Health Care for the Poor and Underserved

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“…Data come from the Black Rural and Urban Caregivers Mental Health and Functioning Study (Chadiha et al 2004), which was conducted between July 1999 and August 2002. This cross-sectional study includes data on 521 Midwestern urban ( n = 256) and rural ( n = 265) African American female caregivers of dependent African American elders (age 65 years or older).…”

Section: Methodsmentioning

confidence: 99%

“…Before attempting to contact enrollees, researchers sent each individual a letter that explained the study. Subsequent telephone and in-person contacts with enrollees were designed to determine study eligibility and to identify sampled elders' primary caregivers (Chadiha et al 2004). …”

Section: Methodsmentioning

confidence: 99%

The Relationship of Social Support to African American Caregivers’ Help-Seeking for Emotional Problems

Pickard

Inoue

Chadiha

et al. 2011

Social Service Review

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This study analyzes whether social support serves as a link to or substitute for formal services among African American female caregivers seeking help with emotional problems. It also analyzes other determinants of help-seeking. It relies on data from the Black Rural and Urban Caregivers Mental Health and Functioning Study and is guided by a modified version of the behavioral model of health services use. Using hierarchical binary logistic regression, analyses reveal that only age, stress, and support from fellow church members are statistically significantly associated with the likelihood of help-seeking. These results support the linking hypothesis, suggesting that the social support received by African American women caregivers in the context of their religious organizations helps to link them to services.

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“…Caregivers were compensated $15 for their participation upon completion of the interviews. Further details of the sample selection are reported elsewhere (see Chadiha et al, 2004). …”

Section: Methodsmentioning

confidence: 99%

An examination of the measurement adequacy of the CES-D among African American women family caregivers

Rozario

Menon

2010

Psychiatry Research

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The CES-D has been used extensively in community-based surveys to describe and explain the prevalence of depression in the general population. Yet, questions have been raised regarding its adequacy for use among ethnic minority because of its factor variance. Employing a within-gender and race approach, we test the validity of the CES-D for use among a sample of African American women family caregivers. Using data from a cross-sectional community sample of 521 urban and rural African American women family caregivers, this study examines the dimensionality of the CES-D by testing four different measurement models through confirmatory factor analyses.Among the four measurement models tested using Weighted Least Squares estimation, our findings support previous research that has identified four dimensions in the CES-D: depressed affect, positive affect, somatic complaints, and interpersonal relations for our sample. Additionally, a three-factor (somatization) model and a four-factor model were shown to be equivalent. Implications for further measurement and model testing, and the use of the CES-D for research among African American women caregivers are discussed.

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Involving Rural, Older African Americans and Their Female Informal Caregivers in Research

Abstract: Knowledge about the involvement of rural, older African Americans and recruitment of their female informal caregivers in research is essential to understanding recruitment successes and pitfalls in ethnic minority research.

Cited by 19 publications

References 13 publications

Diabetes and Psychological Profile of Younger Rural African American Women with Type 2 Diabetes

Diabetes and Psychological Profile of Younger Rural African American Women with Type 2 Diabetes

The Relationship of Social Support to African American Caregivers’ Help-Seeking for Emotional Problems

An examination of the measurement adequacy of the CES-D among African American women family caregivers

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