Plan of Action for Real-World Translation of LGBTQ Health and Aging Research

Fredriksen-Goldsen, Karen I.; Kim, Hyun Jun; McKenzie, Glenise; Krinsky, Lisa; Emlet, Charles A.

doi:10.1089/lgbt.2017.0185

Cited by 18 publications

(7 citation statements)

References 29 publications

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“…This special issue is a testament that around the globe attention to LGBT (lesbian, gay, bisexual, and transgender) aging is growing. Building upon on the preconference, Global Aging with Pride (Fredriksen-Goldsen, 2017), held at the 21st International Association of Gerontology and Geriatrics World Congress, this special issue provides an unprecedented compilation of LGBT aging research from across the world. Participants from 16 countries and 5 continents attended the Global Aging with Pride preconference at the World Congress, and it was from this dynamic and interactive exchange of thoughts and experiences that the idea originated for this special issue.…”

Section: Introductionmentioning

confidence: 99%

Global Aging With Pride: International Perspectives on LGBT Aging

Goldsen

Vries

2019

Int J Aging Hum Dev

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Section: Introductionmentioning

confidence: 99%

Global Aging With Pride: International Perspectives on LGBT Aging

Goldsen

Vries

2019

Int J Aging Hum Dev

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“…In another study, evidence that action plans were effective in improving self-efficacy [ 40 ] was the basis for using them in a diabetes risk reduction intervention for lower-socioeconomic status and minority adults [ 33 ]. When translating interventions for sexual and gender minority older adults, Fredriksen-Goldsen and colleagues suggest including components directly addressing the higher rates of relevant risk factors in these populations (e.g., stigma, discrimination, victimization), which also need to be included in the relevant health disparity framework [ 41 ].…”

Section: Main Textmentioning

confidence: 99%

Transcreation: an implementation science framework for community-engaged behavioral interventions to reduce health disparities

Nápoles

Stewart

2018

BMC Health Serv Res

104

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BackgroundMethods for translating evidence-based behavioral interventions into real-world settings seldom account for the special issues in reaching health disparity populations.Main textThe objective of this article is to describe an innovative “transcreational” framework for designing and delivering interventions in communities to reduce health disparities. We define transcreation as the process of planning, delivering, and evaluating interventions so that they resonate with the community experiencing health disparities, while achieving intended health outcomes. The Transcreation Framework for Community-engaged Behavioral Interventions to Reduce Health Disparities comprises seven steps: 1) identify community infrastructure and engage partners; 2) specify theory; 3) identify multiple inputs for new program; 4) design intervention prototype; 5) design study, methods, and measures for community setting; 6) build community capacity for delivery; and 7) deliver transcreated intervention and evaluate implementation processes. Communities are engaged from the start and interventions are delivered by community-based interventionists and tested in community settings. The framework applies rigorous scientific methods for evaluating program effectiveness and implementation processes. It incorporates training and ongoing technical assistance to assure treatment fidelity and build community capacity.ConclusionsThis framework expands the types of scientific evidence used and balances fidelity to evidence and fit to the community setting. It can guide researchers and communities in developing and testing behavioral interventions to reduce health disparities that are likely to be sustained because infrastructure development is embedded in the research.

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“…People who identify as bisexual or queer, for example, may feel doubly excluded, since their identity is not always recognised by other LGBTI people, 5 and there is some evidence they experience poorer health outcomes. 6 Research in this area is affected by these same factors. Recruitment is difficult, because LGBTI people are understandably unwilling to disclose their identities in institutional settings where they do not feel safe.…”

Section: Introductionmentioning

confidence: 99%

“…This diversity has implications for service needs and barriers, clinical care, and staff awareness and inclusivity. People who identify as bisexual or queer, for example, may feel doubly excluded, since their identity is not always recognised by other LGBTI people, 5 and there is some evidence they experience poorer health outcomes 6 …”

Section: Introductionmentioning

confidence: 99%

LGBTI attitudes towards and experiences of aged care: Results of an exploratory survey

McClean

2021

Australas J Ageing

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Objective To gather views of older LGBTI (Lesbian, Gay, Bisexual, Transgender and Intersex) people on their experiences and expectations of aged care. Methods An online survey of participants recruited through a large provider in NSW, Australia, and three organisations in the LGBTI community. Results Respondents were older members of the LGBTI community, with a range of kinds of experience of aged care (including as clients, workers and advocates). They were somewhat skewed towards regional areas and many reported different kinds of vulnerability. They reported feeling safe to disclose their LGBTI status when engaging with services and not having difficulties on that basis. However, most disagreed that services currently meet the needs of LGBTI people. They said visible signs of welcome, inclusive language, treating disclosures sensitively and managing relations with partners and family were most important for older LGBTI people. Their own choices about aged care would be influenced by service inclusiveness and quality. There were no clear trends by demography, vulnerability or other characteristics. Conclusions Providers should continue to focus on inclusiveness, and improve support for managing relations with family.

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Plan of Action for Real-World Translation of LGBTQ Health and Aging Research

Cited by 18 publications

References 29 publications

Global Aging With Pride: International Perspectives on LGBT Aging

Global Aging With Pride: International Perspectives on LGBT Aging

Transcreation: an implementation science framework for community-engaged behavioral interventions to reduce health disparities

LGBTI attitudes towards and experiences of aged care: Results of an exploratory survey

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