Psychological Needs of Japanese American Elders: Implications for Culturally Competent Interventions

Machizawa, Sayaka; Lau, Denys T.

doi:10.1007/s10823-010-9117-7

Cited by 10 publications

(6 citation statements)

References 11 publications

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“…Neither study pamphlets contained explicit messages about discussing CRC screening with family members; including such information in future materials could be effective. Nikkei cultural norm also may hinder intergenerational communication about health issues if there is no serious health problem (Machizawa & Lau, 2010). Future interventions promoting parent-offspring communication may need to address broader Nikkei cultural norms.…”

Section: Discussionmentioning

confidence: 99%

Colorectal Cancer Knowledge, Attitudes, Screening, and Intergenerational Communication Among Japanese American Families: An Exploratory, Community-Based Participatory Study

Lau

Machizawa

Demonte

et al. 2012

J Cross Cult Gerontol

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Adults of Japanese descent (Nikkei) in the United States have higher risk for colorectal cancer (CRC) than their white counterparts. Family norms toward CRC screening may influence screening behaviors of Nikkei adults. This community-based participatory research study explores if mailing educational pamphlets to Nikkei families can influence CRC knowledge, attitudes, and screening adherence; and trigger intergenerational communication about CRC. Among 56 parent-offspring dyads contacted, 24 were eligible (e.g., no prior CRC screening/diagnosis) and were randomized into 3 cohorts defined by the “target recipient(s)” of study pamphlets about CRC screening: parent only, offspring only, and both parent and offspring. Among the 19 completed dyads (79.2%=19/24), results showed that CRC knowledge of most pamphlet recipients increased in all cohorts; however, some misinformation and attitudinal barriers persisted. Although some parent-offspring communication about CRC increased after mailing pamphlets to offspring, only spousal communication occurred after mailing pamphlets to parents. Additional benefits were not observed in increasing parental screening intent/behavior after mailing pamphlets to both parent and offspring. At the end, among the 10 parents who reported developing CRC screening intent or having scheduled a CRC screening, 8 attributed to study pamphlets and 2 to communication with their offspring. Self-reported barriers preventing screening and parent-offspring communication about CRC were identified. This exploratory study describes preliminary findings that will inform future research aimed to promote CRC screening and reduce racial/ethnic disparities at the community level by enhancing intergenerational communication among Nikkei families.

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Section: Discussionmentioning

confidence: 99%

Colorectal Cancer Knowledge, Attitudes, Screening, and Intergenerational Communication Among Japanese American Families: An Exploratory, Community-Based Participatory Study

Lau

Machizawa

Demonte

et al. 2012

J Cross Cult Gerontol

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“…Semi-structured, open-ended interview guides for all study participants were initially developed based on the existing literature on psychological issues and coping styles of Nikkei elders (Machizawa and Lau 2010), as well as findings based on the previous Nikkei community assessment (Doi 2003). All of the guides included trigger questions about support for a variety of needs, including instrumental activities of daily living such as shopping and homemaking; companionship, social involvement, and emotional needs; emergency health situation; and intellectual engagement (e.g., "What are your daily chores/activities?…”

Section: Methodsmentioning

confidence: 99%

Informal and Formal Support among Community-Dwelling Japanese American Elders Living Alone in Chicagoland: An In-Depth Qualitative Study

Lau

Machizawa

Doi³

2012

J Cross Cult Gerontol

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A key public health approach to promote independent living and avoid nursing home placement is ensuring that elders can obtain adequate informal support from family and friends, as well as formal support from community services. This study aims to describe the use of informal and formal support among community-dwelling Nikkei elders living alone, and explore perceived barriers hindering their use of such support. We conducted English and Japanese semi-structured, open-ended interviews in Chicagoland with a convenience sample of 34 Nikkei elders age 60+ who were functionally independent and living alone; 9 family/friends; and 10 local service providers. According to participants, for informal support, Nikkei elders relied mainly on: family for homemaking and health management; partners for emotional and emergency support; friends for emotional and transportation support; and neighbors for emergency assistance. Perceived barriers to informal support included elders' attitudinal impediments (feeling burdensome, reciprocating support, self-reliance), family-related interpersonal circumstances (poor communication, distance, intergenerational differences); and friendship/neighbor-related interpersonal situations (difficulty making friends, relocation, health decline/death). For formal support, Nikkei elders primarily used adult day care/cultural programs for socializing and learning and in-home care for personal/homemaking assistance and companionship. Barriers to formal support included attitudinal impediments (stoicism, privacy, frugality); perception of care (incompatibility with services, poor opinions of in-home care quality); and accessibility (geographical distance, lack of transportation). In summary, this study provides important preliminary insights for future community strategies that will target resources and training for support networks of Nikkei elders living alone to maximize their likelihood to age in place independently.

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“…Thirteen studies focused on topics related to mental health needs or barriers to mental health service use. Studies under this subtopic relied on interviews or focus groups to assess the mental health needs of Vietnamese American community members affected by a gulf oil spill (Ngo, Gibbons, Scire, & Le, 2014), Korean American immigrant women (Wu, Kviz, & Miller, 2009), older Asian Indian immigrants (Tummala-Narra, Sathasivam-Rueckert, & Sundaram, 2013), Japanese American elders (Machizawa & Lau, 2010), and Asian American youth (S. . A separate study examined the barriers to enrolling in mental health treatment among Asian American and Pacific Islander substance users (Masson et al, 2013).…”

Section: (Table Continues)mentioning

confidence: 99%

Content review of qualitative research on Asian American psychological well-being.

Nagata¹,

Wu²,

Kim³

2017

Asian American Journal of Psychology

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Psychological Needs of Japanese American Elders: Implications for Culturally Competent Interventions

Cited by 10 publications

References 11 publications

Colorectal Cancer Knowledge, Attitudes, Screening, and Intergenerational Communication Among Japanese American Families: An Exploratory, Community-Based Participatory Study

Colorectal Cancer Knowledge, Attitudes, Screening, and Intergenerational Communication Among Japanese American Families: An Exploratory, Community-Based Participatory Study

Informal and Formal Support among Community-Dwelling Japanese American Elders Living Alone in Chicagoland: An In-Depth Qualitative Study

Content review of qualitative research on Asian American psychological well-being.

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