Evidence map›Paper›PMID 38614988›Full record

ArticleBMC health services research2024

Understanding the implementation and sustainability needs of evidence-based programs for racial and ethnic minoritized older adults in under-resourced communities with limited aging services.

Yelba Castellon-Lopez, Savanna L Carson, Katherine T Ward, Karina D Ramirez, Lynn Phan Vo, Tony Kuo, Teresa Seeman, Stefanie D Vassar, Laura Trejo, Ellen Eidem and 2 more

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC health services research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.7field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 5 institutions in 1 country.

Yelba Castellon-LopezDepartment of Biomedical Sciences, Cedars-Sinai Medical Center, Cancer Research Center for Health Equity, Samuel Oschin Comprehensive Cancer Institute, Los Angeles, CA, USA. yelba.castellon-lopez@cshs.org.
Savanna L CarsonDepartment of Medicine, Division of General Internal Medicine-Health Services Research, David Geffen School of Medicine, University of California, Los Angeles, CA, USA.
Katherine T WardDepartment of Medicine, Section of Geriatrics, LAC/Harbor-UCLA Medical Center, Torrance, CA, USA.
Karina D RamirezDepartment of Medicine, Division of Geriatrics, David Geffen School of Medicine, University of California, Los Angeles, CA, USA.
Lynn Phan VoDepartment of Medicine, Division of General Internal Medicine-Health Services Research, David Geffen School of Medicine, University of California, Los Angeles, CA, USA.
Tony KuoDepartment of Family Medicine, David Geffen School of Medicine, University of California, Los Angeles, CA, USA.
Teresa SeemanDepartment of Geriatrics, David Geffen School of Medicine, University of California, Los Angeles, CA, USA.
Stefanie D VassarDepartment of Medicine, Division of General Internal Medicine-Health Services Research, David Geffen School of Medicine, University of California, Los Angeles, CA, USA.
Laura TrejoLos Angeles County Aging and Disabilities Department, Los Angeles, CA, USA.
Ellen EidemLos Angeles County Department of Public Health, Los Angeles, CA, USA.
María P ArandaUSC Edward R. Roybal Institute on Aging, USC Suzanne Dworak-Peck School of Social Work, Los Angeles, CA, USA.
Arleen F BrownDepartment of Medicine, Division of General Internal Medicine-Health Services Research, David Geffen School of Medicine, University of California, Los Angeles, CA, USA.
University of California, Los Angeles · USLos Angeles County Department of Public Health · USCedars-Sinai Medical Center · USHarbor–UCLA Medical Center · USInstitute on Aging · US

Funding

UCLA Clinical Translational Science InstituteUL1TR001881 · NCATS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI ARLEEN F. BROWN, ARASH NAEIM · 2016 to 2026
$118.1M
USCADRC Diversity Supplement PachicanoP30AG066530 · NIA · UNIVERSITY OF SOUTHERN CALIFORNIA · PI ARTHUR W TOGA · 2020 to 2026
$27.8M
Understanding Barriers to Engagement in the Diabetes Prevention Program among Low-Income Latino Patients: Design and Implementation of an Intervention in Community Health CentersK23DK129828 · NIDDK · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI Yelba Castellon-Lopez · 2022 to 2026
$983k
NCATS NIH HHS UL1 TR001881NCATS NIH HHS UL1TR001881NIA NIH HHS P30 AG066530NIDDK NIH HHS K23 DK129828NIMHD NIH HHS L32 MD011958
6 · The paper itself

Abstract

backgroundEvidence-based programs (EBPs) for older adults effectively improve health outcomes. However, there is a limited understanding of the unique needs of service providers as they consider adopting, implementing, and maintaining programs for older minority adults in low-income communities with limited aging services.

methodsWe conducted semi-structured interviews with key informants of community-based organizations (CBOs) to understand implementation and sustainability needs of CBOs within four racial and ethnically diverse Los Angeles County geographic areas. We performed thematic analysis of interview transcripts.

resultsInterviews were conducted with representatives from 25 senior-serving agencies providing aging-related EBPs. CBO representatives reported implementing EBPs in 8 domains: Falls Prevention (68%), Mental Health (64%), Caregiver Health (48%), Chronic Disease Management (48%), Diabetes Management (36%), Arthritis Management (28%), Physical Activity (24%), and Multiple Conditions Management (8%). Themes are presented using the six domains of the Bass and Judge framework for factors impacting successful and sustained EBP implementation. CBOs in low-income and diverse communities described unique challenges with tailoring interventions based on local community context (literacy, language), cultural context, and locally available resources (technology, safe community spaces, transportation) and faced resource-intensive administrative burdens through staff turnover, data collection, sustainable funding, and networking.

conclusionsServing racial and ethnic communities has unique challenges that require tailored approaches and additional resources to ensure equitable access to EBPs for all communities. We describe suggestions for enhancing the effective adoption of EBPs among service agencies in under-resourced and diverse aging communities serving populations with aging-related health disparities.

Indexed as

ArthritisRacial GroupsAgedAgingBehavior TherapyData CollectionHumansAgingCommunity health servicesDisease managementEvidence-based practiceHealth equityOlder adults

Identifiers

PMID38614988
PMCPMC11015605
OpenAlexW4394786260

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.