WHO CAN RELATE TO MY STORIES?: A CULTURALLY CELEBRATORY RESOURCE FOR COGNITIVE HEALTH. (11th November 2018)

• Record Type: Journal Article
• Authors: Croff, R; Fuller, P; Towns, J; Francois, E; Golonka, O; Pruitt, A; Kaye, J
• Is Part Of: Innovation in aging. Volume 2(2018)Supplement 1
• Page Start: 117
• Page End: 117
• Publication Date: 2018-11-11
• Subjects: Aging -- Periodicals; Gerontology -- Periodicals; 612.67
• DOI: 10.1093/geroni/igy023.432
• Languages: English
• ISSNs: 2399-5300

Abstract

Abstract: African Americans have doubled risk of cognitive decline, including Alzheimer's disease. Physical activity and social engagement may slow decline while access to quality, culturally celebratory information dually addressing community and individual health may motivate older African Americans to engage in preventive behaviors. The Sharing History through Active Reminiscence and Photo-imagery (SHARP) study integrates online information with neighborhood stories. We discuss our culturally celebratory framework guiding development, participants' role in resource refinement, and process insights. In 2016 and 2017 cohorts, 31 older African Americans (7=mild cognitive impairment) walked in triads 3xweek for 6 months; a tablet with GPS-triggered historical neighborhood images prompted recorded conversational reminiscence. In focus groups, participants reflected on aging, community and individual health, how they wanted narratives used, and desired information. In 2018, older African Americans (n=12) assessed the resource at each developmental stage. Undergraduates (n=10) prepared walking narratives to frame educational content. Participants desired narratives to inspire dialogue about community health in the face of gentrification. They desired information on maintaining community networks supporting older adult social integration, physical and social activities promoting intergenerational connection and sharing, and clarification between Alzheimer's disease, other dementias, normal and cognitive impairment-related memory loss. In preliminary analysis, narratives complimenting brain health-focused content were stories about community celebrations, interdependence, and activism (social engagement), foodways, gardening, and sports (nutrition and physical activity), health and wellness (self-care) and crafts, hobbies, and leisure (cognitive stimulation). Stories render information relatable and meaningful, potentially making health information easier to recall, apply and share with friends and family.