Carlson Mike, Jackson Jeanne, Mandel Deborah, Blanchard Jeanine, Holguin Jess, Lai Mei-Ying, Marterella Abbey, Vigen Cheryl, Gleason Sarah, Lam Claudia, Azen Stan, Clark Florence
University of Southern California, Los Angeles, CA, USA.
J Appl Gerontol. 2014 Apr;33(3):357-82. doi: 10.1177/0733464812471444. Epub 2013 Mar 21.
The purpose of this study was to document predictors of long-term retention among minority participants in the Well Elderly 2 Study, a randomized controlled trial of a lifestyle intervention for community-dwelling older adults. The primary sample included 149 African American and 92 Hispanic men and women aged 60 to 95 years, recruited at senior activity centers and senior residences. Chi-square and logistic regression procedures were undertaken to examine study-based, psychosocial and health-related predictors of retention at 18 months following study entry. For both African Americans and Hispanics, intervention adherence was the strongest predictor. Retention was also related to high active coping and average (vs. high or low) levels of activity participation among African Americans and high social network strength among Hispanics. The results suggest that improved knowledge of the predictors of retention among minority elders can spawn new retention strategies that can be applied at individual, subgroup, and sample-wide levels.
本研究的目的是记录少数族裔参与者在“健康老年人2研究”中的长期留存预测因素,该研究是一项针对社区居住老年人的生活方式干预随机对照试验。主要样本包括149名非裔美国人和92名西班牙裔男性及女性,年龄在60至95岁之间,他们是在老年活动中心和老年住宅招募的。采用卡方检验和逻辑回归程序来检验研究开始后18个月留存情况的基于研究、心理社会和健康相关的预测因素。对于非裔美国人和西班牙裔而言,干预依从性是最强的预测因素。留存还与非裔美国人的积极应对程度高以及活动参与水平处于中等(相对于高或低)有关,与西班牙裔的社交网络强度高有关。结果表明,提高对少数族裔老年人留存预测因素的认识可以催生新的留存策略,这些策略可应用于个体、亚组和全样本层面。