Development of a Culturally Adapted Dietary Intervention to Reduce Alzheimer's Disease Risk among Older Black Adults

Authors

• Ashley R Shaw
• Mickeal N Key
• Samantha Fikru
• Saria Lofton
• Debra K Sullivan
• Jannette Berkley-Patton
• Crystal M Glover
• Jeffrey M Burns
• Eric D Vidoni

Language

English

Publication Date

9-2-2023

Journal

International Journal of Environmental Research and Public Health

DOI

10.3390/ijerph20176705

PMID

37681845

PMCID

PMC10488073

PubMedCentral® Posted Date

9-2-2023

PubMedCentral® Full Text Version

Post-print

Abstract

The objective of this study is to identify and understand knowledge and attitudes that influence dietary practices among older Black adults using a community-engaged approach. This is a non-interventional mixed methods study designed to inform the development of an adapted brain-healthy soul food diet intervention. A purposive sampling approach was used to conduct seven semi-structured focus group discussions and an online quantitative survey. In total, 39 participants who self-identified as Black, aged 55 years and older, English speaking, and who were cognitively normal with an AD8 < 2; (25.6% men; 74.4% women) participated in the online survey and one of the seven 60 min virtual focus group discussions (5-7 per focus group). Quantitative frequency data from the online surveys were analyzed using descriptive statistics. Qualitative focus group data were analyzed using a 6-step thematic analysis process. Five themes emerged: dementia awareness; practices shaping food choices and consumption; barriers to eating healthy; instrumental support; and elements of a culturally adapted brain-healthy dietary intervention. Older Black adults perceived an adapted MIND dietary model as the most acceptable with the incorporation of salient cultural characteristics and strategies within both the design and delivery phases.

Keywords

Female, Humans, Male, Alzheimer Disease, Black People, Community Participation, Stakeholder Participation, Culturally Competent Care, Diet, Middle Aged, Culture, Social Determinants of Health, Health Knowledge, Attitudes, Practice, Black or African American, diet intervention, older adults, black adults, community engagement, qualitative research, lifestyle interventions, Alzheimer’s disease

Published Open-Access

yes

Recommended Citation

Shaw, Ashley R; Key, Mickeal N; Fikru, Samantha; et al., "Development of a Culturally Adapted Dietary Intervention to Reduce Alzheimer's Disease Risk among Older Black Adults" (2023). Faculty, Staff and Student Publications. 1549.
https://digitalcommons.library.tmc.edu/uthsph_docs/1549