# data[].attributes.body
Does increased cultural training for nurses (I,C) help LGBT assisted living (P) patients increase quality of life(O)?

# data[].attributes.body
Depression in elderly

# data[].attributes.body
With a partner, please find an article and post the abstract  and a link to the article to the Padlet board. Think about what key words your using. Please add your location.

# data[].attributes.body
In older adults living with chronic pain(P), is medical marijuana more effective than a placebo (I,C)in alleviating pain(O)?

# data[].attributes.body
Is motivational interviewing(I,C) an effective way to increase regular exercise (O) in older adults(P).

# data[].attributes.headline
Examining clinicians’ experiences providing sexual health services for LGBTQ youth: considering social and structural determinants of health in clinical practice.

# data[].attributes.subject
Examining clinicians’ experiences providing sexual health services for LGBTQ youth: considering social and structural determinants of health in clinical practice.

# data[].attributes.body
doi:her/cyt116.
P.N.
Although barriers related to lesbian, gay, bisexual, transgender and queer (LGBTQ) youth’s
experiences accessing sexual health services
have been examined in detail, research into the
experiences and perceptions of clinicians providing these services has been conspicuously absent
The aim of this article is to explore the perceptions and experiences of clinicians providing
sexual health services for LGBTQ youth.
Drawing on in-depth, semi-structured interviews, this study examines 24 clinicians’ experiences providing sexual health services to
LGBTQ youth in five communities in British
Columbia, Canada. Our findings reveal how
many clinicians provide services to LGBTQ
youth with a lack of cultural competency—
either implicitly (e.g. by describing heteronormative practices) or explicitly (e.g. by expressing
frustration that they had not been sufficiently
provided with appropriate training related to
LGBTQ youth sexual health). Institutional
norms and values were identified as the dominant barriers in the effective provision of
LGBTQ-tailored services. Many clinicians find
themselves unprepared to provide culturally
competent sexual health services that have
both the capacity to address individual-level
issues (e.g. promoting condom use) while considering (and adapting services to) the broader
socio-cultural and structural conditions that can
render LGBTQ youth socially vulnerable.

# data[].attributes.body
http://dx.doi.org/10.1108/HCS-07-2017-0016

Purpose The purpose of this paper is to outline current efforts in the USA to build and create safe and affirming housing for lesbian, gay, bisexual, and transgender (LGBT) older adults.Design/methodology/approach The authors approach this task through a survey of existing publicly available information about LGBT-specific housing projects, as well as literature on methods to make existing housing welcoming to LGBT elders.Findings The authors find that there are a number of LGBT-specific housing options currently available, and many more in the development phase. Additionally, given the large number of LGBT older adults in the USA and the relatively small number of LGBT-specific housing units, the authors also discuss other interventions that can be applied to create safe housing. The practical implication of this research is to provide advocates for LGBT people with a sense of what is happening in the USA, as well as some guidance on how to replicate LGBT affirming housing models in other contexts.Originality/value To the authors’ knowledge, this is the only and most comprehensive survey of LGBT-specific elder housing in the USA to be published in the academic literature.

[Spokane]

# data[].attributes.body
Abstract Introduction Emergency staff members have a unique role in providing episodic care to marginalized populations. The lesbian, gay, bisexual, and transgender (LGBT) community is a marginalized population that is routinely encountered by ED staff. Implicit prejudice may influence emergency staff interactions and contribute to distrust of health care providers by some members of the LGBT community. The purpose of our study is to evaluate aggregate ED health care team member's knowledge and attitudes toward lesbian, gay, bisexual, and transgender people pre- and post-cultural competency training education. Methods A pre-/post-intervention design was used to assess the impact of LGBT cultural competency training. The Ally Identity Measure (AIM) was administered to an unmatched sample of ED nurses, nurse practitioners, unit secretaries, and physicians. Consisting of 3 domains— knowledge and skills, openness and support, and awareness of oppression experienced by the LGBT community (Cronbach's alphas of 0.76 to 0.88)—the AIM assessed for aggregate differences among our staff pre- and post-cultural competency training. Results Pre-survey data revealed 85.3 % (n = 81) of staff had no previous LGBT education specific to the needs of the population. Post-survey data collected between 3 to 5 months after the education intervention demonstrated a total index mean increase of 8.8% (P < 0.001) in the areas of knowledge and skills, openness and support, and awareness of oppression regarding the LGBT community. Discussion Status post-cultural competency training, the AIM results indicated that our team's collective knowledge about challenges facing the LGBT community increased, and the aggregate scores reflected more openness, support, and awareness of oppression by our staff. This elevated self-awareness and increased knowledge may aid in creating a more open, supportive patient experience for the LGBT community members seeking care at our facility. Unlabelled Box Contribution to Emergency Nursing Practice • The current state of scientific knowledge on lesbian, gay, bisexual, and transgender (LGBT) education and training indicates the need for further research on the impact of this cultural competency training. • The main findings of this research suggests that educational interventions show potential for creating an increase in awareness of LGBT issues, leading to more open and accepting attitudes toward LGBT patients and their family members. • Key implications for emergency nursing practice from this research are how assumptions about a person's gender identity or sexual orientation can have an unintended impact on the nurse-patient relationship and how LGBT cultural competency education can provide emergency nurses strategies to meet the cultural needs of LGBT patients.

# data[].attributes.headline
The role of social and behavioral risk factors in explaining racial disparities in age-related cognitive impairment: a structured narrative review

# data[].attributes.subject
The role of social and behavioral risk factors in explaining racial disparities in age-related cognitive impairment: a structured narrative review

# data[].attributes.body
TITLE:  Improving Emergency Health Care Workers' Knowledge, Competency, and Attitudes Toward Lesbian, Gay, Bisexual, and Transgender Patients Through Interdisciplinary Cultural Competency Training.

ABSTRACT: Abstract Introduction Emergency staff members have a unique role in providing episodic care to marginalized populations. The lesbian, gay, bisexual, and transgender (LGBT) community is a marginalized population that is routinely encountered by ED staff. Implicit prejudice may influence emergency staff interactions and contribute to distrust of health care providers by some members of the LGBT community...

http://www.systems.wsu.edu/scripts/wsuall.pl?url=https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=132918913&site=ehost-live

# data[].attributes.body
Study done to test nurses before and after providing care for LGBT while being inclusive.
http://dx.doi.org/10.1097/NND.0000000000000524
LGBT, nurses, cultural competence
Yakima

# data[].attributes.headline
Cultural competency and microaggressions in the provision of care to LGBT patients in rural and appalachian Tennessee.

# data[].attributes.subject
Cultural competency and microaggressions in the provision of care to LGBT patients in rural and appalachian Tennessee.

# data[].attributes.body
http://dx.doi.org/10.1016/j.pec.2019.06.003

Purpose: Lack of provider training in lesbian, gay, bisexual, and transgender (LGBT) cultural competence may diminish healthcare access. Culturally competent providers may enact microaggressions when providing LGBT patient care, especially in sociopolitically conservative areas. Our study examined LGBT cultural competence and microaggressions among healthcare providers in rural Tennessee.Methods: Providers (n = 85) completed a self-report survey on LGBT cultural competence. Post-survey, we invited respondents to provide an interview to contextualize quantitative findings and identify barriers to LGBT patient care (n = 6).Results: Most quantitative respondents disagreed that they preferred not to care for LGBT patients (85.9%) or that they would refuse care to LGBT patients (92.9%). Only half felt competent to provide LGBT patient care (54.1%). Fewer oncology than primary care providers felt competent treating LGBT patients, and more physicians than nurses reported their training did not adequately address LGBT issues. Qualitatively, interviewees reported serving patients "equally", yet described discomfort with LGBT patients and LGBT microaggressions in clinical practice.Principal Conclusions: While many providers felt competent to provide LGBT patient care, they described behaviors and attitudes that may contribute to LGBT healthcare inequities.Practice Implications: Provider training must address how microaggressions negatively influence patient-provider interactions and LGBT patient care.

# data[].attributes.headline
Cultural Competence Training for Healthcare Professionals Working with LGBT Older Adults. 

# data[].attributes.subject
Cultural Competence Training for Healthcare Professionals Working with LGBT Older Adults. 

# data[].attributes.body
Person-centered cultural competence and sensitivity among service providers is necessary in order for LGBT individuals to share the same quality of life as other members of the aging community. Programming developed to educate healthcare professionals and aging-services providers on issues related to aging as an LGBT adult must be thoughtfully evaluated to show both efficacy and impact.

# data[].attributes.headline
Hannah and Kaitlyn-Care of LGBTQ older adults: What geriatric nurses must know.

# data[].attributes.subject
Hannah and Kaitlyn-Care of LGBTQ older adults: What geriatric nurses must know.

# data[].attributes.body
Cultural training for nurses, nursing care, LGBTQ community

Geriatric nurses have a responsibility to promote the health of all older adults. Lesbian, gay, bisexual, transgender, and queer (LGBTQ) older adults are particularly vulnerable to poor health outcomes and are less likely to seek healthcare due to fear of discrimination. Despite elevated risk LGBTQ older adults are often ignored within geriatric nursing as there is little evidence to inform care. To adequately care for LGBTQ patients geriatric nurses should recognize the effects of bias, appreciate the importance of terminology, understand diversity within the LGBTQ community, advocate for the inclusion of sexual orientation and gender identity in admission assessments, share best practices, and advocate for increased visibility. Caring for this population may be challenging, as it will require geriatric nurses to expand their knowledge of LGBTQ health, explore their own biases, and challenge institutional norms. However, through coordinated efforts geriatric nurses can work toward improving care for LGBTQ older adults.

# data[].attributes.body
Abstract Introduction Emergency staff members have a unique role in providing episodic care to marginalized populations. The lesbian, gay, bisexual, and transgender (LGBT) community is a marginalized population that is routinely encountered by ED staff. Implicit prejudice may influence emergency staff interactions and contribute to distrust of health care providers by some members of the LGBT community. The purpose of our study is to evaluate aggregate ED health care team member's knowledge and attitudes toward lesbian, gay, bisexual, and transgender people pre- and post-cultural competency training education. Methods A pre-/post-intervention design was used to assess the impact of LGBT cultural competency training. The Ally Identity Measure (AIM) was administered to an unmatched sample of ED nurses, nurse practitioners, unit secretaries, and physicians. Consisting of 3 domains— knowledge and skills, openness and support, and awareness of oppression experienced by the LGBT community (Cronbach's alphas of 0.76 to 0.88)—the AIM assessed for aggregate differences among our staff pre- and post-cultural competency training. Results Pre-survey data revealed 85.3 % (n = 81) of staff had no previous LGBT education specific to the needs of the population. Post-survey data collected between 3 to 5 months after the education intervention demonstrated a total index mean increase of 8.8% (P < 0.001) in the areas of knowledge and skills, openness and support, and awareness of oppression regarding the LGBT community. Discussion Status post-cultural competency training, the AIM results indicated that our team's collective knowledge about challenges facing the LGBT community increased, and the aggregate scores reflected more openness, support, and awareness of oppression by our staff. This elevated self-awareness and increased knowledge may aid in creating a more open, supportive patient experience for the LGBT community members seeking care at our facility. Unlabelled Box Contribution to Emergency Nursing Practice • The current state of scientific knowledge on lesbian, gay, bisexual, and transgender (LGBT) education and training indicates the need for further research on the impact of this cultural competency training. • The main findings of this research suggests that educational interventions show potential for creating an increase in awareness of LGBT issues, leading to more open and accepting attitudes toward LGBT patients and their family members. • Key implications for emergency nursing practice from this research are how assumptions about a person's gender identity or sexual orientation can have an unintended impact on the nurse-patient relationship and how LGBT cultural competency education can provide emergency nurses strategies to meet the cultural needs of LGBT patients.

# data[].attributes.attachment_link.readable_text
Detailed Record

Title:

Authors:

Bristol, Sarah; Kostelec, Teresa; MacDonald, Ryan

Affiliation:

Baltimore, MD

Source:

JEN: Journal of Emergency Nursing (J EMERG NURS), Nov2018; 44(6): 632-639. (8p)

Publication Type:

Article

Language:

English

Major Subjects:

Minor Subjects:

Human; Male; Female; Adolescence; Adult; Middle Age; Pretest-Posttest Design; Emergency Nurse Practitioners; Physicians; Support, Psychosocial; Coefficient Alpha; Descriptive Statistics; Self-Awareness; Hospitals, Urban; Convenience Sample; Email; Scales; Summated Rating Scaling; T-Tests; Data Analysis Software; Chi Square Test; Fisher's Exact Test

Abstract:

Abstract Introduction Emergency staff members have a unique role in providing episodic care to marginalized populations. The lesbian, gay, bisexual, and transgender (LGBT) community is a marginalized population that is routinely encountered by ED staff. Implicit prejudice may influence emergency staff interactions and contribute to distrust of health care providers by some members of the LGBT community. The purpose of our study is to evaluate aggregate ED health care team member's knowledge and attitudes toward lesbian, gay, bisexual, and transgender people pre- and post-cultural competency training education. Methods A pre-/post-intervention design was used to assess the impact of LGBT cultural competency training. The Ally Identity Measure (AIM) was administered to an unmatched sample of ED nurses, nurse practitioners, unit secretaries, and physicians. Consisting of 3 domains- knowledge and skills, openness and support, and awareness of oppression experienced by the LGBT community (Cronbach's alphas of 0.76 to 0.88)-the AIM assessed for aggregate differences among our staff pre- and post-cultural competency training. Results Pre-survey data revealed 85.3 % (n = 81) of staff had no previous LGBT education specific to the needs of the population. Post-survey data collected between 3 to 5 months after the education intervention demonstrated a total index mean increase of 8.8% (P < 0.001) in the areas of knowledge and skills, openness and support, and awareness of oppression regarding the LGBT community. Discussion Status post-cultural competency training, the AIM results indicated that our team's collective knowledge about challenges facing the LGBT community increased, and the aggregate scores reflected more openness, support, and awareness of oppression by our staff. This elevated self-awareness and increased knowledge may aid in creating a more open, supportive patient experience for the LGBT community members seeking care at our facility. Unlabelled Box Contribution to Emergency Nursing Practice * The current state of scientific knowledge on lesbian, gay, bisexual, and transgender (LGBT) education and training indicates the need for further research on the impact of this cultural competency training. * The main findings of this research suggests that educational interventions show potential for creating an increase in awareness of LGBT issues, leading to more open and accepting attitudes toward LGBT patients and their family members. * Key implications for emergency nursing practice from this research are how assumptions about a person's gender identity or sexual orientation can have an unintended impact on the nurse-patient relationship and how LGBT cultural competency education can provide emergency nurses strategies to meet the cultural needs of LGBT patients.

Journal Subset:

Core Nursing; Nursing; Peer Reviewed; USA

Special Interest:

Emergency Care

Instrumentation:

Ally Identity Measure (AIM)

ISSN:

0099-1767

MEDLINE Info:

NLM UID: 7605913

Entry Date:

20181113

Revision Date:

20190617

DOI:

http://dx.doi.org/10.1016/j.jen.2018.03.013

Accession Number:

132918913

# data[].attributes.attachment_link.title
Improving Emergency Health Care Workers' Knowledge, Competency, and Attitud...: EBSCOhost

# data[].attributes.attachment_link.description
Title: Authors: Bristol, Sarah; Kostelec, Teresa; MacDonald, Ryan Affiliation: Baltimore, MD Source: JEN: Journal of Emergency Nursing (J EMERG NURS), Nov2018; 44(6): 632-639.

# data[].attributes.body
The population of the aging lesbian, gay, bisexual and transgender (LGBT) community is significant and growing rapidly. As LGBT individuals age and begin to move into healthcare communities, they are fearful of apathy, discrimination, and abuse by healthcare providers and other residents. Person-centered cultural competence and sensitivity among service providers is necessary in order for LGBT individuals to share the same quality of life as other members of the aging community. Programming developed to educate healthcare professionals and aging-services providers on issues related to aging as an LGBT adult must be thoughtfully evaluated to show both efficacy and impact.

# data[].attributes.headline
Cultural Competence Training for Healthcare Professionals Working with LGBT Older Adults.

# data[].attributes.subject
Cultural Competence Training for Healthcare Professionals Working with LGBT Older Adults.

# data[].attributes.body
https://web.a.ebscohost.com/ehost/detail/detail?vid=0&sid=07bba5e2-10a8-4fb2-81af-825bdc607224%40sessionmgr4007&bdata=JnNpdGU9ZWhvc3QtbGl2ZQ%3d%3d#AN=104268815&db=ccm

# data[].attributes.headline
Mental Health Care for LGBT Older Adults in Long-Term Care Settings: Competency, Training, and Barriers for Mental Health Providers.

# data[].attributes.subject
Mental Health Care for LGBT Older Adults in Long-Term Care Settings: Competency, Training, and Barriers for Mental Health Providers.

# data[].attributes.headline
Improving Emergency Health Care Workers' Knowledge, Competency, and Attitudes Toward Lesbian, Gay, Bisexual, and Transgender Patients Through Interdisciplinary Cultural Competency Training.

# data[].attributes.subject
Improving Emergency Health Care Workers' Knowledge, Competency, and Attitudes Toward Lesbian, Gay, Bisexual, and Transgender Patients Through Interdisciplinary Cultural Competency Training.

# data[].attributes.body
Abstract Introduction Emergency staff members have a unique role in providing episodic care to marginalized populations. The lesbian, gay, bisexual, and transgender (LGBT) community is a marginalized population that is routinely encountered by ED staff. Implicit prejudice may influence emergency staff interactions and contribute to distrust of health care providers by some members of the LGBT community. The purpose of our study is to evaluate aggregate ED health care team member's knowledge and attitudes toward lesbian, gay, bisexual, and transgender people pre- and post-cultural competency training education. Methods A pre-/post-intervention design was used to assess the impact of LGBT cultural competency training. The Ally Identity Measure (AIM) was administered to an unmatched sample of ED nurses, nurse practitioners, unit secretaries, and physicians. Consisting of 3 domains— knowledge and skills, openness and support, and awareness of oppression experienced by the LGBT community (Cronbach's alphas of 0.76 to 0.88)—the AIM assessed for aggregate differences among our staff pre- and post-cultural competency training. Results Pre-survey data revealed 85.3 % (n = 81) of staff had no previous LGBT education specific to the needs of the population. Post-survey data collected between 3 to 5 months after the education intervention demonstrated a total index mean increase of 8.8% (P < 0.001) in the areas of knowledge and skills, openness and support, and awareness of oppression regarding the LGBT community. Discussion Status post-cultural competency training, the AIM results indicated that our team's collective knowledge about challenges facing the LGBT community increased, and the aggregate scores reflected more openness, support, and awareness of oppression by our staff. This elevated self-awareness and increased knowledge may aid in creating a more open, supportive patient experience for the LGBT community members seeking care at our facility. Unlabelled Box Contribution to Emergency Nursing Practice • The current state of scientific knowledge on lesbian, gay, bisexual, and transgender (LGBT) education and training indicates the need for further research on the impact of this cultural competency training. • The main findings of this research suggests that educational interventions show potential for creating an increase in awareness of LGBT issues, leading to more open and accepting attitudes toward LGBT patients and their family members. • Key implications for emergency nursing practice from this research are how assumptions about a person's gender identity or sexual orientation can have an unintended impact on the nurse-patient relationship and how LGBT cultural competency education can provide emergency nurses strategies to meet the cultural needs of LGBT patients.
https://web.a.ebscohost.com/ehost/detail/detail?vid=8&sid=53aa8044-150f-42e2-9bd0-0d2dde26b63b%40sessionmgr4008&bdata=JnNpdGU9ZWhvc3QtbGl2ZQ%3d%3d#AN=132918913&db=ccm

# data[].attributes.body
Lesbian, gay, bisexual, and transgender (LGBT) older adults fear discrimination in long-term care and voice a preference for LGBT-specific services. The purpose of this study was to describe, through the eyes of 10 socially interconnected older lesbians (>55 years), the roles that life experiences, social ties, and expectations for aging play in their decision to live in an LGBT continuous-care setting. Nursing has been largely inattentive to older lesbians' unique health and care issues. Reforms in nursing research, education, and practice are suggested to make this population more visible and better understood.

http://dx.doi.org/10.1097/ANS.0b013e3182300db8

# data[].attributes.headline
Cultural Competence Training for Healthcare Professionals Working with LGBT Older Adults. 

# data[].attributes.subject
Cultural Competence Training for Healthcare Professionals Working with LGBT Older Adults. 

# data[].attributes.headline
Improving Emergency Health Care Workers' Knowledge, Competency, and Attitudes Toward Lesbian, Gay, Bisexual, and Transgender Patients Through Interdisciplinary Cultural Competency Training.

# data[].attributes.subject
Improving Emergency Health Care Workers' Knowledge, Competency, and Attitudes Toward Lesbian, Gay, Bisexual, and Transgender Patients Through Interdisciplinary Cultural Competency Training.

# data[].attributes.body
Abstract:

Abstract Introduction Emergency staff members have a unique role in providing episodic care to marginalized populations. The lesbian, gay, bisexual, and transgender (LGBT) community is a marginalized population that is routinely encountered by ED staff. Implicit prejudice may influence emergency staff interactions and contribute to distrust of health care providers by some members of the LGBT community. The purpose of our study is to evaluate aggregate ED health care team member's knowledge and attitudes toward lesbian, gay, bisexual, and transgender people pre- and post-cultural competency training education. Methods A pre-/post-intervention design was used to assess the impact of LGBT cultural competency training. The Ally Identity Measure (AIM) was administered to an unmatched sample of ED nurses, nurse practitioners, unit secretaries, and physicians. Consisting of 3 domains— knowledge and skills, openness and support, and awareness of oppression experienced by the LGBT community (Cronbach's alphas of 0.76 to 0.88)—the AIM assessed for aggregate differences among our staff pre- and post-cultural competency training. Results Pre-survey data revealed 85.3 % (n = 81) of staff had no previous LGBT education specific to the needs of the population. Post-survey data collected between 3 to 5 months after the education intervention demonstrated a total index mean increase of 8.8% (P < 0.001) in the areas of knowledge and skills, openness and support, and awareness of oppression regarding the LGBT community. Discussion Status post-cultural competency training, the AIM results indicated that our team's collective knowledge about challenges facing the LGBT community increased, and the aggregate scores reflected more openness, support, and awareness of oppression by our staff. This elevated self-awareness and increased knowledge may aid in creating a more open, supportive patient experience for the LGBT community members seeking care at our facility. Unlabelled Box Contribution to Emergency Nursing Practice • The current state of scientific knowledge on lesbian, gay, bisexual, and transgender (LGBT) education and training indicates the need for further research on the impact of this cultural competency training. • The main findings of this research suggests that educational interventions show potential for creating an increase in awareness of LGBT issues, leading to more open and accepting attitudes toward LGBT patients and their family members. • Key implications for emergency nursing practice from this research are how assumptions about a person's gender identity or sexual orientation can have an unintended impact on the nurse-patient relationship and how LGBT cultural competency education can provide emergency nurses strategies to meet the cultural needs of LGBT patients.

https://web.b.ebscohost.com/ehost/detail/detail?vid=12&sid=91d82d25-d2f0-4889-b5c9-e54cfe724f4e%40sessionmgr102&bdata=JnNpdGU9ZWhvc3QtbGl2ZQ%3d%3d#AN=132918913&db=ccm

location: SPO

# data[].attributes.headline
Objectives: To assess mental health providers' experience with LGBT older adults in long-term care (LTC) settings and perceived barriers to quality care. Methods: Providers (N = 57) completed an online survey on demographics and practice characteristics. They were also asked about: number of LGBT residents they've worked with, relevance of LGBT issues to their practice, preparedness, willingness to learn, hours of formal/informal training, and barriers to providing care to LGBT patients. Results: Respondents were 63% psychologists, 16% social workers, 14% psychiatrists, and 5% nurses, most of whom practiced in LTC consulting roles. Most providers felt working with LGBT issues was relevant to their practice and felt well-prepared and willing to learn, though they were unaware of evidence based practices (EBTs), especially for LTC settings. They had little coursework on LGBT issues, and identified lack of training, stigma, and residents concealing their identity as the greatest barriers to quality care. Conclusions: Mental health providers in LTC facilities would benefit from more training in LGBT-specific mental health problems and evidence-based treatments, and efforts to destigmatize LGBT identities in these settings might improve access to mental health care. Clinical Implications: LGBT-specific training and EBTs are needed. Facilities need to address stigma with residents and providers.

# data[].attributes.subject
Objectives: To assess mental health providers' experience with LGBT older adults in long-term care (LTC) settings and perceived barriers to quality care. Methods: Providers (N = 57) completed an online survey on demographics and practice characteristics. They were also asked about: number of LGBT residents they've worked with, relevance of LGBT issues to their practice, preparedness, willingness to learn, hours of formal/informal training, and barriers to providing care to LGBT patients. Results: Respondents were 63% psychologists, 16% social workers, 14% psychiatrists, and 5% nurses, most of whom practiced in LTC consulting roles. Most providers felt working with LGBT issues was relevant to their practice and felt well-prepared and willing to learn, though they were unaware of evidence based practices (EBTs), especially for LTC settings. They had little coursework on LGBT issues, and identified lack of training, stigma, and residents concealing their identity as the greatest barriers to quality care. Conclusions: Mental health providers in LTC facilities would benefit from more training in LGBT-specific mental health problems and evidence-based treatments, and efforts to destigmatize LGBT identities in these settings might improve access to mental health care. Clinical Implications: LGBT-specific training and EBTs are needed. Facilities need to address stigma with residents and providers.

# data[].attributes.headline
Maria and Dakota: Improving Emergency Health Care Workers' Knowledge, Competency, and Attitudes Toward Lesbian, Gay, Bisexual, and Transgender Patients Through Interdisciplinary Cultural Competency Training.

# data[].attributes.subject
Maria and Dakota: Improving Emergency Health Care Workers' Knowledge, Competency, and Attitudes Toward Lesbian, Gay, Bisexual, and Transgender Patients Through Interdisciplinary Cultural Competency Training.

# data[].attributes.body
Abstract: Emergency staff members have a unique role in providing episodic care to marginalized populations. The lesbian, gay, bisexual, and transgender (LGBT) community is a marginalized population that is routinely encountered by ED staff. Implicit prejudice may influence emergency staff interactions and contribute to distrust of health care providers by some members of the LGBT community. The purpose of our study is to evaluate aggregate ED health care team member's knowledge and attitudes toward lesbian, gay, bisexual, and transgender people pre- and post-cultural competency training education. Methods A pre-/post-intervention design was used to assess the impact of LGBT cultural competency training. The Ally Identity Measure (AIM) was administered to an unmatched sample of ED nurses, nurse practitioners, unit secretaries, and physicians. Consisting of 3 domains— knowledge and skills, openness and support, and awareness of oppression experienced by the LGBT community (Cronbach's alphas of 0.76 to 0.88)—the AIM assessed for aggregate differences among our staff pre- and post-cultural competency training. Results Pre-survey data revealed 85.3 % (n = 81) of staff had no previous LGBT education specific to the needs of the population. Post-survey data collected between 3 to 5 months after the education intervention demonstrated a total index mean increase of 8.8% (P < 0.001) in the areas of knowledge and skills, openness and support, and awareness of oppression regarding the LGBT community. Discussion Status post-cultural competency training, the AIM results indicated that our team's collective knowledge about challenges facing the LGBT community increased, and the aggregate scores reflected more openness, support, and awareness of oppression by our staff. This elevated self-awareness and increased knowledge may aid in creating a more open, supportive patient experience for the LGBT community members seeking care at our facility. Unlabelled Box Contribution to Emergency Nursing Practice • The current state of scientific knowledge on lesbian, gay, bisexual, and transgender (LGBT) education and training indicates the need for further research on the impact of this cultural competency training. • The main findings of this research suggests that educational interventions show potential for creating an increase in awareness of LGBT issues, leading to more open and accepting attitudes toward LGBT patients and their family members. • Key implications for emergency nursing practice from this research are how assumptions about a person's gender identity or sexual orientation can have an unintended impact on the nurse-patient relationship and how LGBT cultural competency education can provide emergency nurses strategies to meet the cultural needs of LGBT patients.

# data[].attributes.headline
The PACE Steps to Success programme is a complex educational and development intervention toimprove palliative care in nursing homes. Little research has investigated processes in the cross-cultural adaptationand implementation of interventions in palliative care across countries, taking account of differences in health andsocial care systems, legal and regulatory policies, and cultural norms. This paper describes a framework for thecross-cultural development and support necessary to implement such an intervention, taking the PACE Steps toSuccess programme as an exemplar.

# data[].attributes.subject
The PACE Steps to Success programme is a complex educational and development intervention toimprove palliative care in nursing homes. Little research has investigated processes in the cross-cultural adaptationand implementation of interventions in palliative care across countries, taking account of differences in health andsocial care systems, legal and regulatory policies, and cultural norms. This paper describes a framework for thecross-cultural development and support necessary to implement such an intervention, taking the PACE Steps toSuccess programme as an exemplar.

# data[].attributes.headline
Supporting Lesbian, Gay, Bisexual, & Transgender Inclusivity in Long-Term Care Homes: A Canadian Perspective.

# data[].attributes.subject
Supporting Lesbian, Gay, Bisexual, & Transgender Inclusivity in Long-Term Care Homes: A Canadian Perspective.

# data[].attributes.body
It is critical to ensure that long-term care (LTC) homes are sensitive to the needs of lesbian, gay, bisexual, and transgender (LGBT) older adults. However, the extent to which the LTC home sector has adopted recommended strategies is unknown. This qualitative study reports findings from two initiatives: Semi-structured telephone interviews with Canadian LTC home administrators on strategies adopted to support LGBT inclusivity ( n = 32), and discussions with participants attending a 2-day meeting on supporting LGBT inclusivity in LTC ( n = 25). We found that LGBT inclusivity training was the most commonly adopted strategy among the LTC homes surveyed. Study findings further suggested that practices more visible to residents and families, such as LGBT-themed programming, inclusive language and symbols, or joint initiatives with LGBT communities, were less commonly adopted because of anticipated negative resident/family reactions. The importance and benefits of comprehensive strategies that include staff, residents, and family are discussed.

# data[].attributes.headline
Cultural competency and microaggressions in the provision of care to LGBT patients in rural and appalachian Tennessee.

# data[].attributes.subject
Cultural competency and microaggressions in the provision of care to LGBT patients in rural and appalachian Tennessee.

# data[].attributes.body
http://www.systems.wsu.edu/scripts/wsuall.pl?url=https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=138974710&site=ehost-live

Purpose: Lack of provider training in lesbian, gay, bisexual, and transgender (LGBT) cultural competence may diminish healthcare access. Culturally competent providers may enact microaggressions when providing LGBT patient care, especially in sociopolitically conservative areas. Our study examined LGBT cultural competence and microaggressions among healthcare providers in rural Tennessee.Methods: Providers (n = 85) completed a self-report survey on LGBT cultural competence. Post-survey, we invited respondents to provide an interview to contextualize quantitative findings and identify barriers to LGBT patient care (n = 6).Results: Most quantitative respondents disagreed that they preferred not to care for LGBT patients (85.9%) or that they would refuse care to LGBT patients (92.9%). Only half felt competent to provide LGBT patient care (54.1%). Fewer oncology than primary care providers felt competent treating LGBT patients, and more physicians than nurses reported their training did not adequately address LGBT issues. Qualitatively, interviewees reported serving patients "equally", yet described discomfort with LGBT patients and LGBT microaggressions in clinical practice.Principal Conclusions: While many providers felt competent to provide LGBT patient care, they described behaviors and attitudes that may contribute to LGBT healthcare inequities.Practice Implications: Provider training must address how microaggressions negatively influence patient-provider interactions and LGBT patient care.

# data[].attributes.headline
Adverse drug events in elderly patients with Alzheimer's disease.

# data[].attributes.subject
Adverse drug events in elderly patients with Alzheimer's disease.

# data[].attributes.headline
"Fear Runs Deep:” The Anticipated Needs of LGBT Older Adults in Long-Term Care."

# data[].attributes.subject
"Fear Runs Deep:” The Anticipated Needs of LGBT Older Adults in Long-Term Care."

# data[].attributes.body
Objectives: Older lesbian, gay, bisexual, and transgender (LGBT) adults are a vulnerable yet resilient population who face unique stressors as they foresee health decline. This paper presents the results of a study about community-dwelling LGBT older adults’ anticipated needs and fears related to nursing homes and assisted living. Methods: This qualitative study collected data through seven focus groups. The sample (N = 50) consisted of LGBT-identified adults age 55 and over. We used an inductive, thematic analysis approach to data analysis. Results: Participants seek an inclusive environment where they will be safe and feel connected to a community. They fear dependence on healthcare providers, dementia, mistreatment, and isolation. Importantly, these fears can lead to identity concealment and psychological distress, including suicide ideation. Discussion: This study adds to the existing literature about the worries of older LGBT adults as they anticipate long-term care. The results suggest that older LGBT adults seek LGBT-inclusive residential care settings that encompass two distinct yet related aspects of LGBT-affirmative care: the procedural (e.g. culturally competent skills and knowledge of practitioners) and the implicit (e.g. the values and mission of the organization). This paper identifies implications for practice, policy, and training.
http://dx.doi.org/10.1080/01634372.2018.1508109

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Abstract Introduction Emergency staff members have a unique role in providing episodic care to marginalized populations. The lesbian, gay, bisexual, and transgender (LGBT) community is a marginalized population that is routinely encountered by ED staff. Implicit prejudice may influence emergency staff interactions and contribute to distrust of health care providers by some members of the LGBT community. The purpose of our study is to evaluate aggregate ED health care team member's knowledge and attitudes toward lesbian, gay, bisexual, and transgender people pre- and post-cultural competency training education. Methods A pre-/post-intervention design was used to assess the impact of LGBT cultural competency training. The Ally Identity Measure (AIM) was administered to an unmatched sample of ED nurses, nurse practitioners, unit secretaries, and physicians. Consisting of 3 domains— knowledge and skills, openness and support, and awareness of oppression experienced by the LGBT community (Cronbach's alphas of 0.76 to 0.88)—the AIM assessed for aggregate differences among our staff pre- and post-cultural competency training. Results Pre-survey data revealed 85.3 % (n = 81) of staff had no previous LGBT education specific to the needs of the population. Post-survey data collected between 3 to 5 months after the education intervention demonstrated a total index mean increase of 8.8% (P < 0.001) in the areas of knowledge and skills, openness and support, and awareness of oppression regarding the LGBT community. Discussion Status post-cultural competency training, the AIM results indicated that our team's collective knowledge about challenges facing the LGBT community increased, and the aggregate scores reflected more openness, support, and awareness of oppression by our staff. This elevated self-awareness and increased knowledge may aid in creating a more open, supportive patient experience for the LGBT community members seeking care at our facility. Unlabelled Box Contribution to Emergency Nursing Practice • The current state of scientific knowledge on lesbian, gay, bisexual, and transgender (LGBT) education and training indicates the need for further research on the impact of this cultural competency training. • The main findings of this research suggests that educational interventions show potential for creating an increase in awareness of LGBT issues, leading to more open and accepting attitudes toward LGBT patients and their family members. • Key implications for emergency nursing practice from this research are how assumptions about a person's gender identity or sexual orientation can have an unintended impact on the nurse-patient relationship and how LGBT cultural competency education can provide emergency nurses strategies to meet the cultural needs of LGBT patients.

# data[].attributes.subject
Abstract Introduction Emergency staff members have a unique role in providing episodic care to marginalized populations. The lesbian, gay, bisexual, and transgender (LGBT) community is a marginalized population that is routinely encountered by ED staff. Implicit prejudice may influence emergency staff interactions and contribute to distrust of health care providers by some members of the LGBT community. The purpose of our study is to evaluate aggregate ED health care team member's knowledge and attitudes toward lesbian, gay, bisexual, and transgender people pre- and post-cultural competency training education. Methods A pre-/post-intervention design was used to assess the impact of LGBT cultural competency training. The Ally Identity Measure (AIM) was administered to an unmatched sample of ED nurses, nurse practitioners, unit secretaries, and physicians. Consisting of 3 domains— knowledge and skills, openness and support, and awareness of oppression experienced by the LGBT community (Cronbach's alphas of 0.76 to 0.88)—the AIM assessed for aggregate differences among our staff pre- and post-cultural competency training. Results Pre-survey data revealed 85.3 % (n = 81) of staff had no previous LGBT education specific to the needs of the population. Post-survey data collected between 3 to 5 months after the education intervention demonstrated a total index mean increase of 8.8% (P < 0.001) in the areas of knowledge and skills, openness and support, and awareness of oppression regarding the LGBT community. Discussion Status post-cultural competency training, the AIM results indicated that our team's collective knowledge about challenges facing the LGBT community increased, and the aggregate scores reflected more openness, support, and awareness of oppression by our staff. This elevated self-awareness and increased knowledge may aid in creating a more open, supportive patient experience for the LGBT community members seeking care at our facility. Unlabelled Box Contribution to Emergency Nursing Practice • The current state of scientific knowledge on lesbian, gay, bisexual, and transgender (LGBT) education and training indicates the need for further research on the impact of this cultural competency training. • The main findings of this research suggests that educational interventions show potential for creating an increase in awareness of LGBT issues, leading to more open and accepting attitudes toward LGBT patients and their family members. • Key implications for emergency nursing practice from this research are how assumptions about a person's gender identity or sexual orientation can have an unintended impact on the nurse-patient relationship and how LGBT cultural competency education can provide emergency nurses strategies to meet the cultural needs of LGBT patients.

# data[].attributes.body
https://web.a.ebscohost.com/ehost/detail/detail?vid=4&sid=ef5fc902-1d33-4cab-acbf-d4b1ebf06796%40sdc-v-sessmgr02&bdata=JnNpdGU9ZWhvc3QtbGl2ZQ%3d%3d#AN=132918913&db=ccm

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Cultural Competence Training for Healthcare Professionals Working with LGBT Older Adults. 

# data[].attributes.subject
Cultural Competence Training for Healthcare Professionals Working with LGBT Older Adults. 

# data[].attributes.body
The population of the aging lesbian, gay, bisexual and transgender (LGBT) community is significant and growing rapidly. As LGBT individuals age and begin to move into healthcare communities, they are fearful of apathy, discrimination, and abuse by healthcare providers and other residents. Person-centered cultural competence and sensitivity among service providers is necessary in order for LGBT individuals to share the same quality of life as other members of the aging community. Programming developed to educate healthcare professionals and aging-services providers on issues related to aging as an LGBT adult must be thoughtfully evaluated to show both efficacy and impact.
https://web.a.ebscohost.com/ehost/detail/detail?vid=0&sid=af95f7c3-73d0-4649-80ef-7eda516c34fd%40sessionmgr4006&bdata=JnNpdGU9ZWhvc3QtbGl2ZQ%3d%3d#AN=104268815&db=ccm

# data[].attributes.body
The population of the aging lesbian, gay, bisexual and transgender (LGBT) community is significant and growing rapidly. As LGBT individuals age and begin to move into healthcare communities, they are fearful of apathy, discrimination, and abuse by healthcare providers and other residents. Person-centered cultural competence and sensitivity among service providers is necessary in order for LGBT individuals to share the same quality of life as other members of the aging community. Programming developed to educate healthcare professionals and aging-services providers on issues related to aging as an LGBT adult must be thoughtfully evaluated to show both efficacy and impact.

https://web.a.ebscohost.com/ehost/detail/detail?vid=9&sid=d99a4422-aedf-409a-88df-ba157255e810%40sessionmgr4008&bdata=JnNpdGU9ZWhvc3QtbGl2ZQ%3d%3d#db=ccm&AN=104268815

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Elderly patients are highly susceptible to adverse drug events as a result of factors such as altered pharmacodynamic effect, slower pharmacokinetic disposition, and increased use of medications for managing concurrent diseases. Many of these drug events result in visits to the hospital emergency department (ED).

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Elderly patients are highly susceptible to adverse drug events as a result of factors such as altered pharmacodynamic effect, slower pharmacokinetic disposition, and increased use of medications for managing concurrent diseases. Many of these drug events result in visits to the hospital emergency department (ED).

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KEY WORDS CULTURAL TRAINING AND LGBT
Abstract

As the health care needs of the lesbian, gay, bisexual, and transgender (LGBT) population become increasingly important, health care professionals require appropriate academic and clinical training in preparation for the increased demand for culturally competent care. Nurses are of particular interest, as they are the core direct caregivers in many health care settings. This article explores the national climate around LGBT individuals and their related health needs. Educators and administrators who work with future nurses should strive to ensure they foster the development of knowledgeable practitioners who will be able to implement best practices in LGBT patient care. Attention should be paid to providing students with diverse clinical placements, access to LGBT interest groups, and clear expectations for LGBT-sensitive nursing care plans and course outcomes selection that promote cultural competence. Recommendations for nursing education and curricular reform are discussed. [J Nurs Educ. 2013;52(4):198–203.]

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LGBT CULTURAL COMPETENCE AND INTERVENTIONS TO HELP ONCOLOGY NURSES AND OTHER HEALTH CARE PROVIDERS.

# data[].attributes.subject
LGBT CULTURAL COMPETENCE AND INTERVENTIONS TO HELP ONCOLOGY NURSES AND OTHER HEALTH CARE PROVIDERS.

# data[].attributes.headline
Effects of LGBT Nursing Education Using Simulation

# data[].attributes.subject
Effects of LGBT Nursing Education Using Simulation

# data[].attributes.body
https://web.a.ebscohost.com/ehost/detail/detail?vid=10&sid=81e83596-9b6d-4a32-9476-777e76ac2090%40sdc-v-sessmgr03&bdata=JnNpdGU9ZWhvc3QtbGl2ZQ%3d%3d#AN=128560185&db=ccm

# data[].attributes.headline
Advancing health equity for lesbian, gay, bisexual and transgender (LGBT) people through sexual health education and LGBT-affirming health care environments.

# data[].attributes.subject
Advancing health equity for lesbian, gay, bisexual and transgender (LGBT) people through sexual health education and LGBT-affirming health care environments.

# data[].attributes.headline
“Fear Runs Deep:” The Anticipated Needs of LGBT Older Adults in Long-Term Care - The Flying Vipers (AKA Sterling and Haydyn) 

# data[].attributes.subject
“Fear Runs Deep:” The Anticipated Needs of LGBT Older Adults in Long-Term Care - The Flying Vipers (AKA Sterling and Haydyn) 

# data[].attributes.body
Objectives: Older lesbian, gay, bisexual, and transgender (LGBT) adults are a vulnerable yet resilient population who face unique stressors as they foresee health decline. This paper presents the results of a study about community-dwelling LGBT older adults’ anticipated needs and fears related to nursing homes and assisted living. Methods: This qualitative study collected data through seven focus groups. The sample (N = 50) consisted of LGBT-identified adults age 55 and over. We used an inductive, thematic analysis approach to data analysis. Results: Participants seek an inclusive environment where they will be safe and feel connected to a community. They fear dependence on healthcare providers, dementia, mistreatment, and isolation. Importantly, these fears can lead to identity concealment and psychological distress, including suicide ideation. Discussion: This study adds to the existing literature about the worries of older LGBT adults as they anticipate long-term care. The results suggest that older LGBT adults seek LGBT-inclusive residential care settings that encompass two distinct yet related aspects of LGBT-affirmative care: the procedural (e.g. culturally competent skills and knowledge of practitioners) and the implicit (e.g. the values and mission of the organization). This paper identifies implications for practice, policy, and training

https://web.b.ebscohost.com/ehost/detail/detail?vid=3&sid=ba5acf07-adba-4fd4-a1e3-01242e379782%40pdc-v-sessmgr03&bdata=JnNpdGU9ZWhvc3QtbGl2ZQ%3d%3d#AN=133199948&db=ccm

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Advancing LGBT health care policies and clinical care within a large academic health care system: A case study

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Advancing LGBT health care policies and clinical care within a large academic health care system: A case study

# data[].attributes.body
https://search.proquest.com/psycinfo/docview/2021770201/3D0C853590264FBCPQ/11?accountid=14902
Culturally competent health care is especially important among sexual and gender minority patients because poor cultural competence contributes to health disparities. There is a need to understand how to improve health care quality and delivery for lesbian, gay, bisexual, and transgender (LGBT) veterans in particular, because they have unique physical and mental health needs as both LGBT individuals and veterans. The following article is a case study that focuses on the policy and clinical care practices related to LGBT clinical competency, professional training, and ethical provision of care for veteran patients in the VA Boston Healthcare System. We apply Betancourt et al.’s (2003) cultural competence framework to outline the steps that VA Boston Healthcare System took to increase cultural competency at the organizational, structural, and clinical level. By sharing our experiences, we aim to provide a model and steps for other health care systems and programs, including other VA health care systems, large academic health care systems, community health care systems, and mental health care systems, interested in developing LGBT health initiatives. (PsycINFO Database Record (c) 2018 APA, all rights reserved) (Source: journal abstract)

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Sex, senior living and LGBTQ elders: willful ignorance is no longer an option

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Sex, senior living and LGBTQ elders: willful ignorance is no longer an option

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Detailed Record

Title:

Authors:

Moone, Rajean P.; Cagle, John G.; Croghan, Catherine F.; Smith, Jennifer

Affiliation:

Moone Consulting, Minneapolis, Minnesota, USA
School of Social Work, University of Maryland-Baltimore, Baltimore, Maryland, USA
Croghan Consulting, Roseville, Minnesota, USA
Gerontology Department, Bethel University, St. Paul, Minnesota, USA

Source:

Journal of Gerontological Social Work (J GERONTOL SOC WORK), Feb-Jun2014; 57(2-4): 322-334. (13p)

Publication Type:

Journal Article - research, tables/charts

Language:

English

Major Subjects:

Minor Subjects:

Human; Minnesota; Cultural Diversity; Professional Development; Curriculum; Chi Square Test; Bivariate Statistics; Aged

Abstract:

As the population ages and LGBT older adults become more visible among senior service providers, the need for cultural competency training will grow. Although this training is a relatively new phenomenon, curricula exist. These are generally in person for 2- to 8-hr durations. Training to Serve embarked on a study to investigate preferences in cultural competency format and duration. One-hundred and eighty-four Minnesota service providers participated in the online survey. The majority (90%) were interested in participating in LGBT cultural competency training. Results suggest a preference for shorter duration and online formats. Implications for curricula development and future research are included.

Journal Subset:

Allied Health; Peer Reviewed; USA

Special Interest:

Gerontologic Care; Social Work

ISSN:

0163-4372

MEDLINE Info:

PMID: NLM24798318 NLM UID: 7903311

Entry Date:

20140519

Revision Date:

20150820

DOI:

http://dx.doi.org/10.1080/01634372.2013.843630

Accession Number:

103944520

# data[].attributes.attachment_link.title
Working With LGBT Older Adults: An Assessment of Employee Training Practice...: EBSCOhost

# data[].attributes.attachment_link.description
Title: Authors: Moone, Rajean P.; Cagle, John G.; Croghan, Catherine F.; Smith, Jennifer Affiliation: Moone Consulting, Minneapolis, Minnesota, USASchool of Social Work, University of Maryland-Baltimore, Baltimore, Maryland, USACroghan Consulting, Roseville, Minnesota, USAGerontology Department, Bethel University, St. Paul, Minnesota, USA Source: Journal of Gerontological Social Work (J GERONTOL SOC WORK), Feb-Jun2014; 57(2-4): 322-334.

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SPO-Chloe, Alissa, Ellie--Care of LGBTQ older adults: What geriatric nurses must know.

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SPO-Chloe, Alissa, Ellie--Care of LGBTQ older adults: What geriatric nurses must know.

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Abstract: Geriatric nurses have a responsibility to promote the health of all older adults. Lesbian, gay, bisexual, transgender, and queer (LGBTQ) older adults are particularly vulnerable to poor health outcomes and are less likely to seek healthcare due to fear of discrimination...

# data[].attributes.attachment_link.title
Care of LGBTQ older adults: What geriatric nurses must know

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OBJECTIVES: To define and give an overview of the importance of lesbian, gay, bisexual, and transgender (LGBT) cultural competency and offer some initial steps on how to improve the quality of care provided by oncology nurses and other health care professionals. DATA SOURCES: A review of the existing literature on cultural competency. CONCLUSION: LGBT patients experience cancer and several other diseases at higher rates than the rest of the population. The reasons for these health care disparities are complex and include minority stress, fear of discrimination, lower rates of insurance, and lack of access to quality, culturally competent care. Addressing the health care disparities experienced by LGBT individuals and families requires attention to the actual needs, language, and support networks used by patients in these communities. Training on how to provide quality care in a welcoming and non-judgmental way is available and can improve health equity. IMPLICATIONS FOR NURSING PRACTICE: Health care professionals and institutions that acquire cultural competency training can improve the overall health of LGBT patients who currently experience significant health care disparities.

# data[].attributes.headline
A Model for Improving Health Care Quality for Transgender and Gender Nonconforming Patients

# data[].attributes.subject
A Model for Improving Health Care Quality for Transgender and Gender Nonconforming Patients

# data[].attributes.body
Transgender and gender nonconforming (TGNC) populations are disproportionately affected by limited health care access and poor health outcomes and commonly report discrimination and mistreatment in health care settings. Despite these disparities, comprehensive approaches to improve the quality of health care of TGNC patient populations are currently lacking. The Vanderbilt Program for LGBTQ Health has developed a multifaceted, community-engaged approach to improve the quality of health care of TGNC patients, which includes the creation of a transgender patient advocacy program, a community advisory board, and a transgender health clinic. To support the continuous quality improvement of transgender health care, the program is currently piloting a novel multilevel monitoring and evaluation (M&E) system to collect information at the individual patient visit and health systems levels. The next steps for Vanderbilt's community-engaged M&E system are to identify the clinics and health services most used by TGNC patients and assess the level of patient satisfaction in each area. This process will support the identification of high- and low-performing clinics and health services and allow for targeted delivery of trainings to improve the quality of culturally competent health care TGNC patients receive systemwide. In collaboration with TGNC patient populations and community stakeholders, Vanderbilt has created a model to improve the quality of both transition- and non-transition-related health care at the systems level that can be adopted by other health care systems nationally.

# data[].attributes.headline
LGBT CULTURAL COMPETENCE AND INTERVENTIONS TO HELPONCOLOGY NURSES AND OTHER HEALTH CARE PROVIDERS.

# data[].attributes.subject
LGBT CULTURAL COMPETENCE AND INTERVENTIONS TO HELPONCOLOGY NURSES AND OTHER HEALTH CARE PROVIDERS.

# data[].attributes.body
OBJECTIVES: To define and give an overview of the importance of lesbian, gay, bisexual, and transgender (LGBT) cultural competency and offer some initial steps on how to improve the quality of care provided by oncology nursesand other health care professionals. DATA SOURCES: A review of the existing literature on cultural competency. CONCLUSION: LGBTpatients experience cancer and several other diseases at higher rates than the rest of the population. The reasons for these health care disparities are complex and include minority stress, fear of discrimination, lower rates of insurance, and lack of access to quality, culturally competent care. Addressing the health care disparities experienced by LGBTindividuals and families requires attention to the actual needs, language, and support networks used by patients in these communities. Training on how to provide quality care in a welcoming and non-judgmental way is available and can improve health equity. IMPLICATIONS FOR NURSING PRACTICE: Health care professionals and institutions that acquire cultural competency training can improve the overall health of LGBT patients who currently experience significant health care disparities.
https://web.a.ebscohost.com/ehost/detail/detail?

vid=10&sid=81e83596-9b6d-4a32-9476-777e76ac2090%40sdc-v-sessmgr03&bdata=JnNpdGU9ZWhvc3QtbGl2ZQ%3d%3d#AN=128560185&db=ccm

tri-citites- natalie,danielle,alex

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the fear of bomosexuality, gender

identities doesn't end in tbe world of ser- vices for tbe aging. LGBTQ elders instead tend to be ignored, as if tbey do not—can- not—exist. Tbe overlapping issues of HIV and AIDS in elder populations are too of- ten tbe only issues discussed; witb sexu- ality and LGBTQ persons avoided by geri- atric and aging professionals.

Tbe broader cultural notion tbat sex- ual desire ends in old age still bolds sway in geriatric institutions. As a na- tion, we bave long dismissed tbe reality of sexual desire a n d erotic bebavior in elder populations.

# data[].attributes.body
Abstract Introduction Emergency staff members have a unique role in providing episodic care to marginalized populations. The lesbian, gay, bisexual, and transgender (LGBT) community is a marginalized population that is routinely encountered by ED staff. Implicit prejudice may influence emergency staff interactions and contribute to distrust of health care providers by some members of the LGBT community. The purpose of our study is to evaluate aggregate ED health care team member's knowledge and attitudes toward lesbian, gay, bisexual, and transgender people pre- and post-cultural competency training education. Methods A pre-/post-intervention design was used to assess the impact of LGBT cultural competency training. The Ally Identity Measure (AIM) was administered to an unmatched sample of ED nurses, nurse practitioners, unit secretaries, and physicians. Consisting of 3 domains— knowledge and skills, openness and support, and awareness of oppression experienced by the LGBT community (Cronbach's alphas of 0.76 to 0.88)—the AIM assessed for aggregate differences among our staff pre- and post-cultural competency training. Results Pre-survey data revealed 85.3 % (n = 81) of staff had no previous LGBT education specific to the needs of the population. Post-survey data collected between 3 to 5 months after the education intervention demonstrated a total index mean increase of 8.8% (P < 0.001) in the areas of knowledge and skills, openness and support, and awareness of oppression regarding the LGBT community. Discussion Status post-cultural competency training, the AIM results indicated that our team's collective knowledge about challenges facing the LGBT community increased, and the aggregate scores reflected more openness, support, and awareness of oppression by our staff. This elevated self-awareness and increased knowledge may aid in creating a more open, supportive patient experience for the LGBT community members seeking care at our facility. Unlabelled Box Contribution to Emergency Nursing Practice • The current state of scientific knowledge on lesbian, gay, bisexual, and transgender (LGBT) education and training indicates the need for further research on the impact of this cultural competency training. • The main findings of this research suggests that educational interventions show potential for creating an increase in awareness of LGBT issues, leading to more open and accepting attitudes toward LGBT patients and their family members. • Key implications for emergency nursing practice from this research are how assumptions about a person's gender identity or sexual orientation can have an unintended impact on the nurse-patient relationship and how LGBT cultural competency education can provide emergency nurses strategies to meet the cultural needs of LGBT patients.

# data[].attributes.body
https://web.a.ebscohost.com/ehost/detail/detail?vid=5&sid=6536e20c-d969-4e47-8955-2b09c914f3c1%40sessionmgr4008&bdata=JnNpdGU9ZWhvc3QtbGl2ZQ%3d%3d#AN=134560417&db=ccm

# data[].attributes.headline
Spokane: Bailey and Sierra: Cultural Competence Training for Healthcare Professionals Working with LGBT Older Adults

# data[].attributes.subject
Spokane: Bailey and Sierra: Cultural Competence Training for Healthcare Professionals Working with LGBT Older Adults

# data[].attributes.body
The population of the aging lesbian, gay, bisexual and transgender (LGBT) community is significant and growing rapidly. As LGBT individuals age and begin to move into healthcare communities, they are fearful of apathy, discrimination, and abuse by healthcare providers and other residents. Person- centered cultural competence and sensitivity among service providers is necessary in order for LGBT individuals to share the same quality of life as other members of the aging community. Programming developed to educate healthcare professionals and aging-services providers on issues related to aging as an LGBT adult must be thoughtfully evaluated to show both efficacy and impact.
https://web.b.ebscohost.com/ehost/pdfviewer/pdfviewer?vid=28&sid=86bfad99-6d8c-4082-82c1-f285d27462b7%40pdc-v-sessmgr05

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Developing inclusive health and social care policies for older LGBT citizens

# data[].attributes.subject
Developing inclusive health and social care policies for older LGBT citizens

# data[].attributes.body
Creating anti-oppressive practices in service provision that successfully remove barriers to
the social inclusion of older lesbians, gay men, bisexuals and transgendered (LGBT) citizens has proven thus far tremendously difficult. The White Paper, Better Care, Higher
Standards: A Charter for Long Term Care, (Department of Health, 1999) addresses the
development of non-discriminatory services that treat users with dignity and respect,
taking account of sexual orientation (Department of Health, 1999, p. 3). Such government
social policy holds out the hope that services will be designed to support senior LGBT
people. This paper examines the unique oppression and marginalization faced by older
lesbian, gay men, bisexual and transgendered citizens in homophobic and ageist
societies, which often fail to acknowledge their existence. The research findings highlight
strategies being created through social policy that aim to successfully achieve the
inclusion of this group in the planning and delivery of their services.
http://www.systems.wsu.edu/scripts/wsuall.pl?url=https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105364988&site=ehost-live

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Effects of motivational interviewing on levels of physical activity in older adults

# data[].attributes.subject
Effects of motivational interviewing on levels of physical activity in older adults

# data[].attributes.body
In Canada, 68% of women and 53% of men 65 and older are inactive. Physical activity is crucial for older adults being able to maintain physical and mental health, as well as quality of life. Even the frail, chronically ill, and very old adults can increase mobility and functioning through physical activity. The current study examined the effects of Motivational Interviewing (MI) on levels of physical activity in older adults. A total of 86 participants aged 55 and older were recruited in Prince Edward Island. Participants were randomly assigned by gender to the intervention plus information or to an information only condition. Participants in the intervention condition participated in four weekly telephone motivational interviews focused on physical activity. All participants were assessed at baseline, post-treatment, and six month follow-up. Results from this study found that the participants in the motivational interview condition had significantly higher levels of frequency of physical activity and total weekly caloric expenditure from physical activity at post-treatment than participants in the control group. The treatment effects were not maintained at six-month follow-up; however, there was a protective factor of the intervention in that participants in the MI condition returned to baseline levels of physical activity at six-month follow-up while participants in the control condition reported significant decreases in levels of physical activity from baseline to six-month follow-up. These findings support the use of motivational interviewing as a cost-effective technique for increasing levels of physical activity in older adults over the short term. (PsycINFO Database Record (c) 2016 APA, all rights reserved)

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LGBTQ: The communities within a community

# data[].attributes.subject
LGBTQ: The communities within a community

# data[].attributes.body
Lesbian, gay, bisexual, transgender, and queer (LGBTQ) people are diverse, representing a small percentage of the American population. The identities of LGBTQ people are complex, are multilayered, and have a substantial impact on health and well-being. Oncology nurses and allied health professionals are uniquely positioned to appreciate the individuality of each patient, as well as address population-based considerations. This affords the provision of compassionate, culturally, and clinically competent care to this vulnerable population. Oncology care providers can begin to address the health inequities experienced by the LGBTQ community, restore trust in the patient–provider relationship, and improve care quality.

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Cultural competency and microaggressions in the provision of care to LGBT patients in rural and appalachian Tennessee.

# data[].attributes.subject
Cultural competency and microaggressions in the provision of care to LGBT patients in rural and appalachian Tennessee.

# data[].attributes.body
Purpose: Lack of provider training in lesbian, gay, bisexual, and transgender (LGBT) cultural competence may diminish healthcare access. Culturally competent providers may enact microaggressions when providing LGBT patient care, especially in sociopolitically conservative areas. Our study examined LGBT cultural competence and microaggressions among healthcare providers in rural Tennessee.Methods: Providers (n = 85) completed a self-report survey on LGBT cultural competence. Post-survey, we invited respondents to provide an interview to contextualize quantitative findings and identify barriers to LGBT patient care (n = 6).Results: Most quantitative respondents disagreed that they preferred not to care for LGBT patients (85.9%) or that they would refuse care to LGBT patients (92.9%). Only half felt competent to provide LGBT patient care (54.1%). Fewer oncology than primary care providers felt competent treating LGBT patients, and more physicians than nurses reported their training did not adequately address LGBT issues. Qualitatively, interviewees reported serving patients "equally", yet described discomfort with LGBT patients and LGBT microaggressions in clinical practice.Principal Conclusions: While many providers felt competent to provide LGBT patient care, they described behaviors and attitudes that may contribute to LGBT healthcare inequities.Practice Implications: Provider training must address how microaggressions negatively influence patient-provider interactions and LGBT patient care.

# data[].attributes.headline
Affective theory of mind in human aging: is there any relation with executive functioning?

# data[].attributes.subject
Affective theory of mind in human aging: is there any relation with executive functioning?

# data[].attributes.headline
Serving All Who Served: Piloting an Online Tool to Support Cultural Competency with LGBT U.S. Military Veterans in Long-Term Care.

# data[].attributes.subject
Serving All Who Served: Piloting an Online Tool to Support Cultural Competency with LGBT U.S. Military Veterans in Long-Term Care.

# data[].attributes.headline
key words : nurse training for LGBT assisted living

# data[].attributes.subject
key words : nurse training for LGBT assisted living

# data[].attributes.body
Mariya & Missy

# data[].attributes.body
Objectives: Older lesbian, gay, bisexual, and transgender (LGBT) adults are a vulnerable yet resilient population who face unique stressors as they foresee health decline. This paper presents the results of a study about community-dwelling LGBT older adults’ anticipated needs and fears related to nursing homes and assisted living. Methods: This qualitative study collected data through seven focus groups. The sample (N = 50) consisted of LGBT-identified adults age 55 and over. We used an inductive, thematic analysis approach to data analysis. Results: Participants seek an inclusive environment where they will be safe and feel connected to a community. They fear dependence on healthcare providers, dementia, mistreatment, and isolation. Importantly, these fears can lead to identity concealment and psychological distress, including suicide ideation. Discussion: This study adds to the existing literature about the worries of older LGBT adults as they anticipate long-term care. The results suggest that older LGBT adults seek LGBT-inclusive residential care settings that encompass two distinct yet related aspects of LGBT-affirmative care: the procedural (e.g. culturally competent skills and knowledge of practitioners) and the implicit (e.g. the values and mission of the organization). This paper identifies implications for practice, policy, and training.
Link: https://web.a.ebscohost.com/ehost/detail/detail?vid=3&sid=2b5def0d-7488-4d48-812b-4f15ab92b7af%40sessionmgr4006&bdata=JnNpdGU9ZWhvc3QtbGl2ZQ%3d%3d#db=ccm&AN=133199948

KeyWords: LGBT, Assisted Living

# data[].attributes.headline
It's Complicated: Improving Undergraduate Nursing Students' Understanding Family and Care of LGBTQ Older Adults.

# data[].attributes.subject
It's Complicated: Improving Undergraduate Nursing Students' Understanding Family and Care of LGBTQ Older Adults.

# data[].attributes.body
Research has identified the need for improved cultural competence of health care providers regarding the lesbian, gay, bisexual, transgender, and queer (LGBTQ) community's needs. This article articulates the teaching approach and methodology of an unfolding LGBTQ family case study for undergraduate nursing students. This method provided a forum for exploration of personal biases and gender-affirming techniques, and addressed the challenges of aging for a transgender woman and family within the context of societal stigma and discrimination. Students gained knowledge concerning shifts in family structures and understanding of the nurses' role encouraging inclusiveness and equitable access in health care settings, advocating for vulnerable populations, and addressing specific health concerns for transgender older adults. Student responses demonstrated increased knowledge of family diversity, and critical thought regarding the intersectionality of discrimination and aging. The findings revealed the case study methodology facilitated student understanding of the unique health and social issues for LGBTQ older adults within a family context.

# data[].attributes.body
Lesbian, gay, bisexual and transgender (LGBT) people face pervasive health disparities and barriers to high-quality care. Adequate LGBT sexual health education for emerging health professionals is currently lacking. Clinical training programs and healthcare organisations are well poised to start addressing these disparities and affirming LGBT patients through curricula designed to cultivate core competencies in LBGT health as well as health care environments that welcome, include and protect LGBT patients, students and staff. Health education programs can emphasise mastery of basic LGBT concepts and terminology, as well as openness towards and acceptance of LGBT people. Core concepts, language and positive attitudes can be instilled alongside clinical skill in delivering inclusive sexual health care, through novel educational strategies and paradigms for clinical implementation. Caring for the health needs of LGBT patients also involves the creation of health care settings that affirm LGBT communities in a manner that is responsive to culturally specific needs, sensitivities and challenges that vary across the globe.
https://web.b.ebscohost.com/ehost/detail/detail?vid=13&sid=4a914a95-c2b4-4709-93c1-21fbed38a859%40pdc-v-sessmgr01&bdata=JnNpdGU9ZWhvc3QtbGl2ZQ%3d%3d#AN=121238852&db=ccm

# data[].attributes.headline
Serving All Who Served: Piloting an Online Tool to Support Cultural Competency with LGBT U.S. Military Veterans in Long-Term Care.

# data[].attributes.subject
Serving All Who Served: Piloting an Online Tool to Support Cultural Competency with LGBT U.S. Military Veterans in Long-Term Care.

# data[].attributes.body
Yakima: Julia, Diana, Collin. Objective: Given health disparities between lesbian, gay, bisexual, and transgender (LGBT) and non-LGBT older adults, ensuring that the care provided in long-term care (LTC) settings is both supportive and sensitive to their unique needs and challenges is essential. This has become a matter of increasing priority in the United States Department of Veterans Affairs (VA), which in recent years has stated its mission to "serve all who served," including LGBT Veterans. With this in mind, we piloted an online training tool designed to enhance the LGBT cultural competence of interdisciplinary staff working in geriatric extended care units. Method: Interdisciplinary LTC staff participated in an online training module that contained information on unique factors that affect the lives of older LGBT Veterans, and provided considerations and strategies to assist staff in working with them. Results: Following participation in the training, staff showed a significant increase in knowledge about LGBT Veterans, but not in skills or attitudes. Conclusions: Online-based LGBT cultural-competency training is useful in providing LTC staff with foundational knowledge that can help them work more competently with LGBT residents. Clinical Implications: LTC facilities can develop brief yet effective cultural competency trainings that increase the visibility of LGBT concerns in order to enhance clinical care.

# data[].attributes.headline
Cultural Competence Training for Healthcare Professionals Working with LGBT Older Adults.

# data[].attributes.subject
Cultural Competence Training for Healthcare Professionals Working with LGBT Older Adults.

# data[].attributes.body
TC- David, Rachel, Monique, Miguel

# data[].attributes.headline
"Advancing health equity for lesbian, gay, bisexual and transgender (LGBT) people through sexual health education and LGBT-affirming health care environments."

# data[].attributes.subject
"Advancing health equity for lesbian, gay, bisexual and transgender (LGBT) people through sexual health education and LGBT-affirming health care environments."

# data[].attributes.body
Tri cities: Josh, Ronnie, Cheri
Lesbian, gay, bisexual and transgender (LGBT) people face pervasive health disparities and barriers to high-quality care. Adequate LGBT sexual health education for emerging health professionals is currently lacking. Clinical training programs and healthcare organisations are well poised to start addressing these disparities and affirming LGBT patients through curricula designed to cultivate core competencies in LBGT health as well as health care environments that welcome, include and protect LGBT patients, students and staff. Health education programs can emphasise mastery of basic LGBT concepts and terminology, as well as openness towards and acceptance of LGBT people. Core concepts, language and positive attitudes can be instilled alongside clinical skill in delivering inclusive sexual health care, through novel educational strategies and paradigms for clinical implementation. Caring for the health needs of LGBT patients also involves the creation of health care settings that affirm LGBT communities in a manner that is responsive to culturally specific needs, sensitivities and challenges that vary across the globe.
https://web.b.ebscohost.com/ehost/detail/detail?vid=5&sid=8829b3dc-d9c3-4db4-b08e-22d670b1aa1b%40pdc-v-sessmgr01&bdata=JnNpdGU9ZWhvc3QtbGl2ZQ%3d%3d#AN=121238852&db=ccm

Cultural training LGBT Quality of life

# data[].attributes.headline
Effects of LGBT Nursing Education Using Simulation

# data[].attributes.subject
Effects of LGBT Nursing Education Using Simulation

# data[].attributes.body
Spokane: Margarita, Johanna, Celeste
Purpose: As health care needs for Lesbian, Gay, Bisexual and Transgender (LGBT) are becom- ing increasingly important, it has become imperative for the nurses to be attentive towards their health problems and provide nursing care with an open-minded attitude. Due to limited opportu- nity to provide direct nursing care to LGBT patients, it is hypothesized that simulation would pro- vide good opportunity for students to experience LGBT nursing care in a safe environment. This study was conducted to develop and apply simulation of LGBT nursing care to ultimately provide unbiased nursing care for LGBT population and prepare basic data for LGBT nursing education.Methods: This study was a single-group pre-post experimental design study for 57 senior nursing students based on the comparison of existing LGBT knowledge, general attitude towards LGBT, and nursing attitude towards LGBT before and after simulation. The scenario content included discussion of coming out issue, providing sexual health information, and supportive nursing care for LGBT population. Data were analyzed with descriptive statistics and Wilcoxon signed rank.Results: Simulation education-led to a significant increase in LGBT knowledge and nursing atti- tude. However, there was no change in the general attitude towards LGBT.

Conclusion: The results of this study suggest that LGBT education using simulation may be ef- fective for nursing students and nurses from the point of concern for LGBT population. It is hy- pothesized that future LGBT educational programs might need more detailed information from both care recipients and nurses. Finally, LGBT education needs to be included in the nursing education curriculum.
https://web.b.ebscohost.com/ehost/pdfviewer/pdfviewer?vid=14&sid=2984b6ec-6e9b-4a20-9131-a0ebc16a7799%40pdc-v-sessmgr06

# data[].attributes.headline
SPO Kaitlyn and Hannah: "Motivational interviewing and exercise programme for community‐dwelling older persons with chronic pain: A randomised controlled study"

# data[].attributes.subject
SPO Kaitlyn and Hannah: "Motivational interviewing and exercise programme for community‐dwelling older persons with chronic pain: A randomised controlled study"

# data[].attributes.body
Key words: Motivational interviews AND exercise AND geriatrics

Aims and objectives: To examine the effectiveness of an integrated motivational interviewing and physical exercise programme on pain, physical and psychological function, quality of life, self-efficacy, and compliance with exercise for community-dwelling older persons with chronic pain. Background: Chronic pain is common among older persons. Indeed, motivation for managing pain is poor, and may cause negative consequences. Motivational interviewing maybe effective in treating chronic pain. Design: Single-blinded randomised control study. Methods: Older persons with chronic pain ( n = 56) were recruited from two elderly community centres. They were blinded from the group allocation. The programme was conducted by an motivational interviewing-trained physiotherapist and registered nurses. Participants in the experimental group received an 8-week integrated motivational interviewing and physical exercise programme, while the control group received regular activities in the centre. Motivational interviewing used open-ended questions to encourage participants to express and recognise their pain and behaviours and professional feedback was given accordingly. Pain intensity, pain self-efficacy, anxiety, happiness, depression, mobility and quality of life were measured before and after the motivational interviewing and physical exercise programme. Attendance and compliance rate of the programme was calculated in the experimental group. Results: Significant improvements in pain intensity, pain self-efficacy, anxiety, happiness and mobility after the motivational interviewing and physical exercise programme (all p < 0· 05) for experimental group, while no significant improvement in control group except on the happiness scale. Regarding group differences in the outcome measures, the change scores on pain intensity, state anxiety and depression were significantly better in the experimental group. Conclusion: Motivational interviewing and physical exercise programme is effective in improving pain, physical mobility, psychological well-being and self-efficacy for community-dwelling older persons with chronic pain. Relevance to clinical practice: Motivational interviewing is a feasible counselling technique whose content can be modified based on target group to change maladaptive behaviours, elicit ambivalences and enhance self-efficacy for making changes. Thus, promoting motivational interviewing and physical exercise programme to older persons with pain is effective and important. (PsycINFO Database Record (c) 2016 APA, all rights reserved) (Source: journal abstract)

# data[].attributes.headline
SPO Brittny & Ada - motivational interviewing and exercise programme for community-dwelling older persons with chronic pain: a randomised controlled study 

# data[].attributes.subject
SPO Brittny & Ada - motivational interviewing and exercise programme for community-dwelling older persons with chronic pain: a randomised controlled study 

# data[].attributes.body
Aims and objectives: To examine the effectiveness of an integrated motivational interviewing and physical exercise programme on pain, physical and psychological function, quality of life, self-efficacy, and compliance with exercise for community-dwelling older persons with chronic pain. Background: Chronic pain is common among older persons. Indeed, motivation for managing pain is poor, and may cause negative consequences. Motivational interviewing maybe effective in treating chronic pain. Design: Single-blinded randomised control study. Methods: Older persons with chronic pain ( n = 56) were recruited from two elderly community centres. They were blinded from the group allocation. The programme was conducted by an motivational interviewing-trained physiotherapist and registered nurses. Participants in the experimental group received an 8-week integrated motivational

https://search.proquest.com/psycinfo/docview/1373445318/D2BA5E5F27EE4085PQ/1?accountid=14902

# data[].attributes.headline
GAPNA Consensus Statement on Proficiencies for the APRN Gerontological Specialist: Proficiency Statement 6

# data[].attributes.subject
GAPNA Consensus Statement on Proficiencies for the APRN Gerontological Specialist: Proficiency Statement 6

# data[].attributes.body
SPO: Katherine, Nicole, Madison

The article discusses the Gerontological Advanced Practice Nurses Association (GAPNA) Consensus Statement on Proficiencies for the Advanced Practice Registered Nurse (APRN) Gerontological Specialist which recognizes the psychosocial aspect of sexuality and health in heterosexual older adults

https://web.a.ebscohost.com/ehost/detail/detail?vid=38&sid=035a8a09-7c26-4196-b397-e7084893a0d7%40sdc-v-sessmgr03&bdata=JnNpdGU9ZWhvc3QtbGl2ZQ%3d%3d#AN=119683727&db=ccm

# data[].attributes.headline
Motivational interviewing to promote physical activity for people with chronic heart failureBrodie, David A; Inoue, Alison.Journal of Advanced Nursing Vol. 50, Iss. 5,  (Jun 2005): 518-527. DOI:10.1111/j.1365-2648.2005.03422.x

# data[].attributes.subject
Motivational interviewing to promote physical activity for people with chronic heart failureBrodie, David A; Inoue, Alison.Journal of Advanced Nursing Vol. 50, Iss. 5,  (Jun 2005): 518-527. DOI:10.1111/j.1365-2648.2005.03422.x

# data[].attributes.body
Aim: This paper reports a study comparing, over a 5-month period, two different methods of increasing physical activity: a traditional exercise programme and one based on motivational interviewing. Background: Chronic heart failure is associated with poor quality of life that can be improved by increased physical activity. Patients who are directed to engage in physical activity have a record of low compliance. Method: Sixty older aged heart failure patients were randomly assigned to standard care, motivational interviewing or both treatments. The primary outcome was physical activity (kcal/kg/day), with the 6-minute walk test as a secondary outcome. Findings: At entry, no significant differences were observed between the three groups. Following treatment, the 'motivational interviewing' and 'both treatments' groups reported an increase in their level and type of activities, whereas the 'standard care' group did not. All groups significantly increased their 6-minute walk distance. Conclusions: Motivational interviewing, which incorporates established behaviour change principles and a flexible approach to promotion of activity, increases reported physical activity in older patients with heart failure over a short period. In terms of level and type of activity, this approach gives a better outcome than standard care, and nurses should explore alternative strategies to promote health in this population. (PsycINFO Database Record (c) 2016 APA, all rights reserved) (Source: journal abstract)

# data[].attributes.headline
SPO-Kaitlyn and Hannah-Antidepressants for depressed elderly

# data[].attributes.subject
SPO-Kaitlyn and Hannah-Antidepressants for depressed elderly

# data[].attributes.body
Depressed, elderly. Depression is a relatively common experience in older adults. The syndrome is associated with considerable distress, morbidity and service commitment. Approximately two thirds of patients presenting with severe forms will respond to antidepressant treatment and the last twenty years has witnessed a great increase in the number of these drugs. Older, frail people are particularly vulnerable to side effects.

# data[].attributes.body
Adding silver to the rainbow: the development of the nurses' health education about LGBT elders ( HEALE) cultural competency curriculum.

# data[].attributes.headline
SPO Kaitlyn and Hannah:Efficacy and adverse effects of medical marijuana for chronic noncancer pain: Systematic review of randomized controlled trials.

# data[].attributes.subject
SPO Kaitlyn and Hannah:Efficacy and adverse effects of medical marijuana for chronic noncancer pain: Systematic review of randomized controlled trials.

# data[].attributes.body
Key words: Chronic pain AND marijuana
OBJECTIVE:

To determine if medical marijuana provides pain relief for patients with chronic noncancer pain (CNCP) and to determine the therapeutic dose, adverse effects, and specific indications.

CONCLUSION:

There is evidence for the use of low-dose medical marijuana in refractory neuropathic pain in conjunction with traditional analgesics. However, trials were limited by short duration, variability in dosing and strength of delta-9-tetrahydrocannabinol, and lack of functional outcomes. Although well tolerated in the short term, the long-term effects of psychoactive and neurocognitive effects of medical marijuana remain unknown. Generalizing the use of medical marijuana to all CNCP conditions does not appear to be supported by existing evidence. Clinicians should exercise caution when prescribing medical marijuana for patients, especially in those with nonneuropathic CNCP.

# data[].attributes.headline
Antidepressants versus placebo for the depressed elderly

# data[].attributes.subject
Antidepressants versus placebo for the depressed elderly

# data[].attributes.body
doi.org/10.1002/14651858.CD000561
Depression warranting intervention is found in ten percent of people over the age of 60. Older depressed people are more likely to die than non‐depressed. Relatively few receive therapeutic interventions, and those that do, tend to receive low dose antidepressant therapy. Depression in older people is thought to differ in terms of aetiology, presentation, treatment and outcome than in younger people. Concomitant physical illness and increasing social, physical and neurophysiological diversity are associated with the ageing process. Consequently drug treatment of older patients is often carried out in institutions and on patients suffering from multiple physical problems.

KEY WORDS: Depression, Elderly

R.M, A.B, M.E., Y.L Tri

# data[].attributes.body
http://dx.doi.org/10.1080/13825585.2019.1602706

# data[].attributes.body
DOI: 10.1097/j.pain.0000000000001293

Key words: marijuana AND chronic pain AND placebo

Abstract

This review examines evidence for the effectiveness of cannabinoids in chronic noncancer pain (CNCP) and addresses gaps in the literature by: considering differences in outcomes based on cannabinoid type and specific CNCP condition; including all study designs; and following IMMPACT guidelines. MEDLINE, Embase, PsycINFO, CENTRAL, and clinicaltrials.gov were searched in July 2017. Analyses were conducted using Revman 5.3 and Stata 15.0. A total of 91 publications containing 104 studies were eligible (n = 9958 participants), including 47 randomised controlled trials (RCTs) and 57 observational studies. Forty-eight studies examined neuropathic pain, 7 studies examined fibromyalgia, 1 rheumatoid arthritis, and 48 other CNCP (13 multiple sclerosis-related pain, 6 visceral pain, and 29 samples with mixed or undefined CNCP). Across RCTs, pooled event rates (PERs) for 30% reduction in pain were 29.0% (cannabinoids) vs 25.9% (placebo); significant effect for cannabinoids was found; number needed to treat to benefit was 24 (95% confidence interval [CI] 15-61); for 50% reduction in pain, PERs were 18.2% vs 14.4%; no significant difference was observed. Pooled change in pain intensity (standardised mean difference: -0.14, 95% CI -0.20 to -0.08) was equivalent to a 3 mm reduction on a 100 mm visual analogue scale greater than placebo groups. In RCTs, PERs for all-cause adverse events were 81.2% vs 66.2%; number needed to treat to harm: 6 (95% CI 5-8). There were no significant impacts on physical or emotional functioning, and low-quality evidence of improved sleep and patient global impression of change. Evidence for effectiveness of cannabinoids in CNCP is limited. Effects suggest that number needed to treat to benefit is high, and number needed to treat to harm is low, with limited impact on other domains. It seems unlikely that cannabinoids are highly effective medicines for CNCP.

# data[].attributes.headline
SPO Ada and Brittny: psychotherapeutic treatments for older depressed people.

# data[].attributes.subject
SPO Ada and Brittny: psychotherapeutic treatments for older depressed people.

# data[].attributes.body
Despite a number of reviews advocating psychotherapy for the treatment of depression, there is relatively little evidence based on randomised controlled trials that specifically examines its efficacy in older people.
To examine the efficacy of psychotherapeutic treatments for depression in older people.
Only a small number of studies and patients were included in the meta‐analysis. If taken on their own merit, the findings do not provide strong support for psychotherapeutic treatments in the management of depression in older people. However, the findings do reflect those of a larger meta‐analysis that included patients with broader age ranges, suggesting that CBT may be of potential benefit.

https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD004853.pub2/full

# data[].attributes.body
Research on depression and exercise shows that the physical and psychological benefits of exercise can help improve mood. The purpose of this project is to provide a better understanding about the benefits of exercise and ways to motivate depressed clients to participate in regular physical activity. In addition, this review identifies the factors that influence adults' engagement in physical activity that are essential for tailoring motivational interventions that are likely to increase regular participation. Through a review of the literature, as well as interviews with experts in the field, this review explores in detail the applicability of Motivational Interviewing and Cognitive Behavioral Therapy as interventions to motivate clients to exercise. The concepts of amotivation, depressive symptoms, and self-efficacy are reviewed in the context of physical activity. An overview is also given of Cognitive Behavioral Therapy and Motivational Interviewing and evidence is provided that motivation, relief of depressive symptoms, and an increase in self-efficacy can be developed through Cognitive Behavioral Therapy and Motivational Interviewing interventions. The current literature about Motivational Interviewing and Cognitive Behavioral Therapy as interventions for
https://search.proquest.com/psycinfo/docview/1269430796/1D8A36427077446DPQ/4?accountid=14902

# data[].attributes.headline
Tri - Araceli, Rebecca, Mikaela, Yessenia

# data[].attributes.subject
Tri - Araceli, Rebecca, Mikaela, Yessenia

# data[].attributes.body
https://search.proquest.com/psycinfo/docview/621560980/3F058D8C687846FCPQ/2?accountid=14902

# data[].attributes.body
Investigation of web-based motivational interviewing to increase physical activity participation among adults

Interventions to enhance physical activity (PA) participation are needed given the high prevalence of under-activity and inactivity (CDC, 2001) and related occurrence of negative health consequences among the general adult population (Kung, Hoyert, Xu, & Murphy, 2008). Preliminary support for a therapeutic technique called Motivational Interviewing (MI) suggests promise for application to enhance PA participation (Burke, Arkowitz, & Menchola, 2003). Given the need for interventions to enhance PA and the preliminary support for MI as an intervention to increase PA, the aims of the current study were to: (a) determine if web-based MI is effective in enhancing PA participation, and (b) assess the mechanisms by which web-based MI enhances PA through changes in targeted cognitive variables. Participants (n= 23, under-active or inactive adults) engaged in four web-based MI sessions. Steps per day, PA, and cognitive variables were assessed across time. Efficacy of MI in enhancing PA participation was demonstrated through: (a) increases in steps per day (t[22]= 2.085, p = 0.049); (b) increases in total PA energy expenditure per week( χ2= 8.430, p = 0.015); and (c) increases in moderate intensity PA energy expenditure per week ( χ2= 13.853, p = 0.001).

# data[].attributes.body
This study examined the efficacy of motivational interviewing (MI) for increasing physical activity in aging adults. Eighty-six participants aged 55 years and older were randomly assigned to receive either four weekly sessions of telephone-based MI for increasing physical activity, or a healthy activity living guide (information only control). Changes from baseline weekly caloric expenditure from physical activity, self-efficacy for physical activity, and stage of change for physical activity were compared across groups at posttreatment and six months follow-up. Results indicated that MI participants had higher weekly caloric expenditures from physical activity at posttreatment, but not at six months follow-up; higher self-efficacy for physical activity at six months follow-up; and demonstrated greater stage of change progression across assessments. These findings support the use of telephone-based MI for increasing physical activity in older adults in the short-term. Future studies will need to determine if follow-up booster sessions increase long-term efficacy. (PsycINFO Database Record (c) 2016 APA, all rights reserved) (Source: journal abstract)
http://dx.doi.org/10.1123/JAPA.2013-0056

# data[].attributes.headline
SPO-Maria&Dakota Exercise gaming—A motivational approach for older adults with vestibular dysfunction

# data[].attributes.subject
SPO-Maria&Dakota Exercise gaming—A motivational approach for older adults with vestibular dysfunction

# data[].attributes.body
Purpose: The purpose of the study was to identify possible reasons for a modest level of exercise compliance during computer-assisted training for vestibular rehabilitation. Method: Qualitative design and analysis of 14 semi-structured interviews with seven participants before and after a period with computer-assisted home training. The interviews evolved around themes, such as the elderly participants' self-efficacy, motivation and acceptance of the technology. Results: Age was not an excuse for the modest exercise compliance. The participants were basically self-efficient and accepted the technology, but their knowledge and understanding of the training programme were insufficient. The participants asked for a greater variation in the exercises and asked for closer contact with the physiotherapist. When Mitii is used for vestibular rehabilitation, the system has some limitations. Conclusions: The modest level of exercise compliance can be explained by (1) missing variety of exercise speed and duration and lack of introducing new exercises, (2) insufficient interaction with the physiotherapist regarding the participants’ performance and lack of social contact with other patients and (3) desire for a deeper understanding of the training programme with supplying information on the parts of the vestibular system addressed by the training. Implications for Rehabilitation: 1. Computer-assisted technologies should generate feedback on the quality of user performance and inform the patient of the relevance of the exercise. 2. The technology should support social contact among patients with the same diagnosis and establish contact with the physiotherapist at the hospital advice and feedback. 3. Varity and adjustments to exercises are necessary to maintain motivation and exercise compliance. (PsycINFO Database Record (c) 2019 APA, all rights reserved) (Source: journal abstract)

# data[].attributes.body
Aims and objectives: To examine the effectiveness of an integrated motivational interviewing and physical exercise programme on pain, physical and psychological function, quality of life, self-efficacy, and compliance with exercise for community-dwelling older persons with chronic pain. Background: Chronic pain is common among older persons. Indeed, motivation for managing pain is poor, and may cause negative consequences. Motivational interviewing maybe effective in treating chronic pain. Design: Single-blinded randomised control study. Methods: Older persons with chronic pain ( n = 56) were recruited from two elderly community centres. They were blinded from the group allocation. The programme was conducted by an motivational interviewing-trained physiotherapist and registered nurses. Participants in the experimental group received an 8-week integrated motivational interviewing and physical exercise programme, while the control group received regular activities in the centre. Motivational interviewing used open-ended questions to encourage participants to express and recognise their pain and behaviours and professional feedback was given accordingly. Pain intensity, pain self-efficacy, anxiety, happiness, depression, mobility and quality of life were measured before and after the motivational interviewing and physical exercise programme. Attendance and compliance rate of the programme was calculated in the experimental group. Results: Significant improvements in pain intensity, pain self-efficacy, anxiety, happiness and mobility after the motivational interviewing and physical exercise programme (all p < 0· 05) for experimental group, while no significant improvement in control group except on the happiness scale. Regarding group differences in the outcome measures, the change scores on pain intensity, state anxiety and depression were significantly better in the experimental group. Conclusion: Motivational interviewing and physical exercise programme is effective in improving pain, physical mobility, psychological well-being and self-efficacy for community-dwelling older persons with chronic pain. Relevance to clinical practice: Motivational interviewing is a feasible counselling technique whose content can be modified based on target group to change maladaptive behaviours, elicit ambivalences and enhance self-efficacy for making changes. Thus, promoting motivational interviewing and physical exercise programme to older persons with pain is effective and important. (PsycINFO Database Record (c) 2016 APA, all rights reserved) (Source: journal abstract)

DOI:10.1111/j.1365-2702.2012.04317.x

# data[].attributes.headline
One-year adherence to the Otago exercise program with or without motivational interviewing in community-dwelling older adults

# data[].attributes.subject
One-year adherence to the Otago exercise program with or without motivational interviewing in community-dwelling older adults

# data[].attributes.body
This study investigated if behavioral factors, treatment with behavioral support, readiness to change, fall self-efficacy, and activity habits could predict long-term adherence to an exercise program. Included in this study were 114 community-dwelling older adults who had participated in one of two home-based exercise interventions. Behavioral factors associated with adherence to the exercise program over 52 weeks were analyzed. The behavioral factors, specifically activity habits at baseline, significantly predicted adherence to the exercise program, with an odds ratio = 3.39, 95% confidence interval [1.38, 8.32], for exercise and an odds ratio = 6.11, 95% confidence interval [2.34, 15.94], for walks. Being allocated to a specific treatment including motivational interviewing was also significantly predictive: odds ratio = 2.47, 95% confidence interval [1.11, 5.49] for exercise adherence. In conclusion, activity habits and exercise in combination with motivational interviewing had a significant association with adherence to the exercise program at a 1-year follow-up. (PsycINFO Database Record (c) 2019 APA, all rights reserved) (Source: journal abstract)
Spokane paige tia becky chloe
https://search.proquest.com/psycinfo/docview/2273352181/47E781BF69D4E40PQ/1?accountid=14902

# data[].attributes.headline
TRI: danielle,alex, Natalie- Adapted motivational interviewing for increasing physical activity: A 12 month clinical trial

# data[].attributes.subject
TRI: danielle,alex, Natalie- Adapted motivational interviewing for increasing physical activity: A 12 month clinical trial

# data[].attributes.body
Over half of adult Americans do not participate in regular PA (PA). Approximately 60% of individuals who begin an exercise program will drop out within six months. Motivationalinterviewing (MI) is a proven method for decreasing addictive behavior however conclusions regarding its application to PA remain equivocal. The purpose of the present investigation is to test the efficacy of an adapted MI (AMI) treatment for increasing PA over 12 months. A secondary intention is to examine the impact of the autonomy and competency constructs from Self-Determination Theory (SDT) on PA. Thirty-seven adults comprised the sample. The mean age was 46 with a majority being white and female. Participants were randomized to either the AMI treatment group or the control group. The AMI group received 3 in-person sessions, 4 telephone calls, and 4 emails from a PA counselor over the course of 3 months. AMI content
https://search.proquest.com/psycinfo/docview/622034632/A12BD119BFC14177PQ/2?accountid=14902

key words: motivational interviews, physical activity, exercise,  adults

# data[].attributes.headline
A pilot intervention of motivational interviewing-based writing to increase regular exercise

# data[].attributes.subject
A pilot intervention of motivational interviewing-based writing to increase regular exercise

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SPO: Katherine, Madison, Nicole

Background. Motivational Interviewing (MI) is a person-centered counseling method that aims to strengthen clients' own motivation for and commitment to behavioral changes, like increasing regular exercise. Writing interventions have the potential to be less resource-intensive and more cost-effective than typical therapeutic interventions, but currently there is little research that utilizes MI-based questions in a disseminable written intervention, and there is no such writing intervention for increasing regular exercise. Purpose. To conduct a pilot study of a novel writing intervention and examine the extent to which the intervention results in improvements in physical activity and in putative mediating variables previously seen to be mechanisms of MI and health behavior change (i.e., autonomous motivation, self-efficacy, intentions, change talk). Outcomes also include measures of tolerability, acceptability, and feasibility. Methods. Under-active young adults (N = 65) were randomized to either the intervention or expressive-writing control condition. They spent 20 minutes writing answers to MI-based questions about regular exercise tailored to their stage of change (intervention) or writing generally about their health (control). Then they completed post-intervention measures of the putative mediating variables. Eight days after the writing session, they reported exercise levels for the past week. Results. Overall, I did not find significant differences between the intervention and control condition on exercise, self-efficacy, motivation, or change talk. I found a medium-sized effect in favor of the intervention condition for intention to exercise, t(63) = 2.03, p = .05, d = .51, though the pattern of results among other correlated variables suggests this could be type I error. In addition, the study was evaluated by all participants to be tolerable and acceptable, and feasibility was demonstrated. Implications. The results reflect the viability of this research area. I identify many limitations of the current study that can inform future research. (PsycINFO Database Record (c) 2017 APA, all rights reserved)

https://search.proquest.com/psycinfo/docview/1914295523/A1A7DD45C9934372PQ/1?accountid=14902

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SPO: Chris, Brandon, Daniel, Maxx Motivational interviewing to promote physical activity for people with chronic heart failure

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SPO: Chris, Brandon, Daniel, Maxx Motivational interviewing to promote physical activity for people with chronic heart failure

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Aim: This paper reports a study comparing, over a 5-month period, two different methods of increasing physical activity: a traditional exercise programme and one based on motivational interviewing. Background: Chronic heart failure is associated with poor quality of life that can be improved by increased physical activity. Patients who are directed to engage in physical activity have a record of low compliance. Method: Sixty older aged heart failure patients were randomly assigned to standard care, motivational interviewing or both treatments. The primary outcome was physical activity (kcal/kg/day), with the 6-minute walk test as a secondary outcome. Findings: At entry, no significant differences were observed between the three groups. Following treatment, the 'motivational interviewing' and 'both treatments' groups reported an increase in their level and type of activities, whereas the 'standard care' group did not. All groups significantly increased their 6-minute walk distance. Conclusions: Motivational interviewing, which incorporates established behaviour change principles and a flexible approach to promotion of activity, increases reported physical activity in older patients with heart failure over a short period. In terms of level and type of activity, this approach gives a better outcome than standard care, and nurses should explore alternative strategies to promote health in this population. (PsycINFO Database Record (c) 2016 APA, all rights reserved) (Source: journal abstract)

http://dx.doi.org/10.1111/j.1365-2648.2005.03422.x

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One-year adherence to the Otago exercise program with or without motivational interviewing in community-dwelling older adults

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One-year adherence to the Otago exercise program with or without motivational interviewing in community-dwelling older adults

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This study investigated if behavioral factors, treatment with behavioral support, readiness to change, fall self-efficacy, and activity habits could predict long-term adherence to an exercise program. Included in this study were 114 community-dwelling older adults who had participated in one of two home-based exercise interventions. Behavioral factors associated with adherence to the exercise program over 52 weeks were analyzed. The behavioral factors, specifically activity habits at baseline, significantly predicted adherence to the exercise program, with an odds ratio = 3.39, 95% confidence interval [1.38, 8.32], for exercise and an odds ratio = 6.11, 95% confidence interval [2.34, 15.94], for walks. Being allocated to a specific treatment including motivational interviewing was also significantly predictive: odds ratio = 2.47, 95% confidence interval [1.11, 5.49] for exercise adherence. In conclusion, activity habits and exercise in combination with motivational interviewing had a significant association with adherence to the exercise program at a 1-year follow-up. (PsycINFO Database Record (c) 2019 APA, all rights reserved) (Source: journal abstract)

http://dx.doi.org/10.1123/japa.2017-0009

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Aims and objectives: To examine the effectiveness of an integrated motivational interviewing and physical exercise programme on pain, physical and psychological function, quality of life, self-efficacy, and compliance with exercise for community-dwelling older persons with chronic pain. Background: Chronic pain is common among older persons. Indeed, motivation for managing pain is poor, and may cause negative consequences. Motivational interviewing maybe effective in treating chronic pain. Design: Single-blinded randomised control study. Methods: Older persons with chronic pain ( n = 56) were recruited from two elderly community centres. They were blinded from the group allocation. The programme was conducted by an motivational interviewing-trained physiotherapist and registered nurses. Participants in the experimental group received an 8-week integrated motivational interviewing and physical exercise programme, while the control group received regular activities in the centre. Motivational interviewing used open-ended questions to encourage participants to express and recognise their pain and behaviours and professional feedback was given accordingly. Pain intensity, pain self-efficacy, anxiety, happiness, depression, mobility and quality of life were measured before and after the motivational interviewing and physical exercise programme. Attendance and compliance rate of the programme was calculated in the experimental group. Results: Significant improvements in pain intensity, pain self-efficacy, anxiety, happiness and mobility after the motivational interviewing and physical exercise programme (all p < 0· 05) for experimental group, while no significant improvement in control group except on the happiness scale. Regarding group differences in the outcome measures, the change scores on pain intensity, state anxiety and depression were significantly better in the experimental group. Conclusion: Motivational interviewing and physical exercise programme is effective in improving pain, physical mobility, psychological well-being and self-efficacy for community-dwelling older persons with chronic pain. Relevance to clinical practice: Motivational interviewing is a feasible counselling technique whose content can be modified based on target group to change maladaptive behaviours, elicit ambivalences and enhance self-efficacy for making changes. Thus, promoting motivational interviewing and physical exercise programme to older persons with pain is effective and important. (PsycINFO Database Record (c) 2016 APA, all rights reserved) (Source: journal abstract)

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Aims and objectives: To examine the effectiveness of an integrated motivational interviewing and physical exercise programme on pain, physical and psychological function, quality of life, self-efficacy, and compliance with exercise for community-dwelling older persons with chronic pain. Background: Chronic pain is common among older persons. Indeed, motivation for managing pain is poor, and may cause negative consequences. Motivational interviewing maybe effective in treating chronic pain. Design: Single-blinded randomised control study. Methods: Older persons with chronic pain ( n = 56) were recruited from two elderly community centres. They were blinded from the group allocation. The programme was conducted by an motivational interviewing-trained physiotherapist and registered nurses. Participants in the experimental group received an 8-week integrated motivational interviewing and physical exercise programme, while the control group received regular activities in the centre. Motivational interviewing used open-ended questions to encourage participants to express and recognise their pain and behaviours and professional feedback was given accordingly. Pain intensity, pain self-efficacy, anxiety, happiness, depression, mobility and quality of life were measured before and after the motivational interviewing and physical exercise programme. Attendance and compliance rate of the programme was calculated in the experimental group. Results: Significant improvements in pain intensity, pain self-efficacy, anxiety, happiness and mobility after the motivational interviewing and physical exercise programme (all p < 0· 05) for experimental group, while no significant improvement in control group except on the happiness scale. Regarding group differences in the outcome measures, the change scores on pain intensity, state anxiety and depression were significantly better in the experimental group. Conclusion: Motivational interviewing and physical exercise programme is effective in improving pain, physical mobility, psychological well-being and self-efficacy for community-dwelling older persons with chronic pain. Relevance to clinical practice: Motivational interviewing is a feasible counselling technique whose content can be modified based on target group to change maladaptive behaviours, elicit ambivalences and enhance self-efficacy for making changes. Thus, promoting motivational interviewing and physical exercise programme to older persons with pain is effective and important. (PsycINFO Database Record (c) 2016 APA, all rights reserved) (Source: journal abstract)

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TRI https://search.proquest.com/psycinfo/docview/1373445318/AF3895C1FAFC4A7EPQ/1?accountid=14902

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SPO Hannah Taylor Ally Effects of motivational interviewing on levels of physical activity in older adults

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SPO Hannah Taylor Ally Effects of motivational interviewing on levels of physical activity in older adults

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In Canada, 68% of women and 53% of men 65 and older are inactive. Physical activity is crucial for older adults being able to maintain physical and mental health, as well as quality of life. Even the frail, chronically ill, and very old adults can increase mobility and functioning through physical activity. The current study examined the effects of Motivational Interviewing (MI) on levels of physical activity in older adults. A total of 86 participants aged 55 and older were recruited in Prince Edward Island. Participants were randomly assigned by gender to the intervention plus information or to an information only condition. Participants in the intervention condition participated in four weekly telephone motivational interviews focused on physical activity. All participants were assessed at baseline, post-treatment, and six month follow-up. Results from this study found that the participants in the motivational interview condition had significantly higher levels of frequency of physical activity and total weekly caloric expenditure from physical activity at post-treatment than participants in the control group. The treatment effects were not maintained at six-month follow-up; however, there was a protective factor of the intervention in that participants in the MI condition returned to baseline levels of physical activity at six-month follow-up while participants in the control condition reported significant decreases in levels of physical activity from baseline to six-month follow-up. These findings support the use of motivational interviewing as a cost-effective technique for increasing levels of physical activity in older adults over the short term. (PsycINFO Database Record (c) 2016 APA, all rights reserved)
DOI: 622089513