Cornect-Benoit Ashley, Pitawanakwat Karen, Walker Jennifer, Manitowabi Darrel, Jacklin Kristen
School of Rural and Northern Health, Laurentian University, Sudbury, Ontario.
Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, Alberta.
Can J Aging. 2020 Jun;39(2):263-283. doi: 10.1017/S0714980819000527.
The emergence of Alzheimer's disease and related dementias (ADRD) in Indigenous populations across Canada is of rising concern, as prevalence rates continue to exceed those of non-Indigenous populations. The Intergenerativity Model, guided by Indigenous Ways of Knowing, nurtures a psychosocial approach to promoting healthy brain aging and quality of life. Community-based participatory action methods led by interviews, focus groups, and program observations aid in identifying the barriers to and facilitators of success for intergenerational social engagements in the Anishinaabe community of Wiikwemkoong in northwestern Ontario. A qualitative thematic analysis guides future recommendations for programming opportunities that foster traditional roles of older First Nation adults and support intergenerational relationships. The results of this project elicit culturally appropriate recommendations for community-driven supports that address healthy brain aging. These outcomes are relevant to other Indigenous communities as the framework for determining that culturally appropriate health supports can be adapted to the unique context of many communities.
加拿大各地原住民中阿尔茨海默病及相关痴呆症(ADRD)的出现日益受到关注,因为其患病率持续超过非原住民人口。以原住民认知方式为指导的代际模型培养了一种促进健康大脑衰老和生活质量的社会心理方法。由访谈、焦点小组和项目观察主导的基于社区的参与式行动方法,有助于确定安大略省西北部威克温孔第一民族社区代际社会参与成功的障碍和促进因素。定性主题分析为促进原住民年长者传统角色和支持代际关系的项目机会提供未来建议。该项目的结果提出了针对社区驱动的支持措施的文化适宜性建议,以解决健康大脑衰老问题。这些成果与其他原住民社区相关,因为该框架可用于确定文化适宜的健康支持措施可适应许多社区的独特情况。