{"id":2679,"date":"2018-11-30T11:52:15","date_gmt":"2018-11-30T19:52:15","guid":{"rendered":"https:\/\/keck.usc.edu\/news\/culturally-tailored-text-messages-improve-alzheimers-education-among-african-americans\/"},"modified":"2023-11-26T08:27:13","modified_gmt":"2023-11-26T16:27:13","slug":"culturally-tailored-text-messages-improve-alzheimers-education-among-african-americans","status":"publish","type":"post","link":"https:\/\/keck.usc.edu\/news\/culturally-tailored-text-messages-improve-alzheimers-education-among-african-americans\/","title":{"rendered":"Culturally tailored text messages improve Alzheimer\u2019s education among African-Americans"},"content":{"rendered":"\n  \n    \n\n\n\n\n\n\n<div\n  class=\"cc--component-container cc--article-hero \"\n\n  \n  \n  \n  \n  \n  \n  >\n  <div class=\"c--component c--article-hero\"\n    \n      >\n\n    \n  <div class=\"text-container\">\n              \n<div class=\"f--field f--eyebrow\">\n\n    \n  <span>Press Release<\/span>\n\n\n\n<\/div>\n    \n              \n<div class=\"f--field f--page-title\">\n\n    \n  <h1>Culturally tailored text messages improve Alzheimer\u2019s education among African-Americans<\/h1>\n\n\n<\/div>\n    \n    \n          <div class=\"meta\">\n        \n                  <span class=\"date\">November 30, 2018<\/span>\n              <\/div>\n    \n              \n<div class=\"f--field f--embed\">\n\n    \n  <div class=\"heateor_sss_sharing_container heateor_sss_horizontal_sharing\" data-heateor-ss-offset=\"0\" data-heateor-sss-href='https:\/\/keck.usc.edu\/news\/culturally-tailored-text-messages-improve-alzheimers-education-among-african-americans\/'><div class=\"heateor_sss_sharing_ul\"><a aria-label=\"Facebook\" class=\"heateor_sss_facebook\" href=\"https:\/\/www.facebook.com\/sharer\/sharer.php?u=https%3A%2F%2Fkeck.usc.edu%2Fnews%2Fculturally-tailored-text-messages-improve-alzheimers-education-among-african-americans%2F\" title=\"Facebook\" rel=\"nofollow 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1.99-1.146 2.736l-1.982 1.968c-.745.75-1.658 1.12-2.736 1.12-1.087 0-2.004-.38-2.75-1.143l-2.777-2.79c-.75-.747-1.12-1.66-1.12-2.737 0-1.106.392-2.046 1.183-2.818l-1.186-1.185c-.774.79-1.708 1.186-2.805 1.186-1.078 0-1.995-.376-2.75-1.13l-2.803-2.81C5.377 12.82 5 11.903 5 10.826c0-1.08.382-1.993 1.146-2.738L8.128 6.12C8.873 5.372 9.785 5 10.864 5c1.087 0 2.004.382 2.75 1.146l2.777 2.79c.75.747 1.12 1.66 1.12 2.737 0 1.105-.392 2.045-1.183 2.817l1.186 1.186c.774-.79 1.708-1.186 2.805-1.186 1.078 0 1.995.377 2.75 1.132l2.804 2.804c.754.755 1.13 1.672 1.13 2.75z\"\/><\/svg><\/span><\/a><\/div><div class=\"heateorSssClear\"><\/div><\/div>\n\n\n<\/div>\n        \n  <\/div>\n\n          \n<div class=\"f--field f--image\">\n\n    \n    \n    \n        <figure>\n    \n    \n    \n              \n      <img\n                            data-src=\"https:\/\/keck.usc.edu\/news\/wp-content\/uploads\/sites\/68\/2023\/11\/Featured-Keck-School-Of-Medicine-600x432.jpg\"\n                    data-sizes=\"(min-width:1200px) 75vw, (min-width:768px) 83vw, 100vw\"          class=\"lazyload\"\n        \n        alt=\"Image of Keck School of Medicine of USC sign on building\"\n        \n                                      \/>\n\n    \n          <figcaption><p>(Photo\/Chris Shinn)<\/p>\n<\/figcaption>\n    <\/figure>\n    \n  \n  \n\n<\/div>\n  \n\n  <\/div><\/div>\n\r\n\r\n\n\n  \n    \n\n\n\n\n\n\n<div\n  class=\"cc--component-container cc--rich-text white\"\n\n  \n  \n  \n  \n  \n  \n  >\n  <div class=\"c--component c--rich-text\"\n    \n      >\n\n    \n  <div class=\"inner-wrapper\">\n        \n<div class=\"f--field f--wysiwyg\">\n\n    \n  <p class=\"dropcap\">A new USC study shows that older African-Americans who received culturally tailored text messages about Alzheimer\u2019s disease had the highest increase in Alzheimer\u2019s disease literacy levels when compared with other participants.<\/p>\n<p>Researchers say the study, published in the American Journal for Geriatric Psychiatry, shows culturally competent educational formats are an important way to reduce health disparities.<\/p>\n<p>While a cure for Alzheimer\u2019s remains elusive, experts agree that earlier diagnosis provides greater treatment and planning options \u2014 including organizing ongoing care and planning for financial and social well-being \u2014 for patients and caregivers.<\/p>\n<p>Enter the BrainWorks study by\u00a0<a href=\"https:\/\/roybal.usc.edu\/our_team\/karen-d-lincoln\/\" target=\"_blank\" rel=\"noopener noreferrer\">Karen Lincoln<\/a>, an associate professor at the\u00a0<a href=\"https:\/\/dworakpeck.usc.edu\/\" target=\"_blank\" rel=\"noopener noreferrer\">USC Suzanne Dworak-Peck School of Social Work<\/a>\u00a0and founder of Advocates for African American Elders at the\u00a0USC Edward R. Roybal Institute on Aging. The study tested an intervention that began with participants attending an hourlong\u00a0<a href=\"https:\/\/news.usc.edu\/129586\/alzheimers-education-takes-a-page-from-oprahs-playbook\/\" target=\"\" rel=\"noopener\">\u201ctalk show\u201d<\/a>\u00a0in an African-American community setting that delivered information about Alzheimer\u2019s. The next phase incorporated a monthlong regimen of daily text messages to promote Alzheimer\u2019s literacy \u2014 defined as knowledge about the disease and understanding of its causes, consequences, symptoms and treatment.<\/p>\n<p>\u201cAlzheimer\u2019s education is important for everyone,\u201d Lincoln said. \u201cHowever, increasing Alzheimer\u2019s literacy among African-Americans is crucial for increasing their awareness of their personal risk for the disease, improving care, reducing disparities and ultimately enhancing the quality of life of people diagnosed and their caregivers.\u201d<\/p>\n<div class=\"video-embed\"><iframe loading=\"lazy\" width=\"990\" height=\"557\" src=\"https:\/\/www.youtube.com\/embed\/7v0FGzIwhT4\" title=\"How to Improve Alzheimer\u2019s Education among African Americans (BrainWorks)\" style=\"max-width: 100%;\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture\" allowfullscreen><\/iframe><\/div>\n<h2>Why focus on Alzheimer\u2019s disease literacy?<\/h2>\n<p>The facts about Alzheimer\u2019s are grim for older African-Americans. They\u2019re two to three times as likely to have the disease or other dementias as older whites, and it\u2019s the fourth leading cause of death among older African-American adults. Missed and delayed diagnosis of the disease and other dementias are more prevalent among African-Americans than among whites.<\/p>\n<p>Lincoln\u2019s own mother was diagnosed with moderate to severe dementia. Despite her professional expertise, it took her several years to convince her family that something was wrong. \u201cAs a result, I became a lot more passionate about educating people, and I have a lot more understanding and compassion,\u201d Lincoln said.<\/p>\n<p>Researchers say traditional methods of educating older Americans and their caregivers \u2014 print communication and the internet \u2014 are missing the mark. One in four African-Americans have below basic literacy levels and less than half of older African-Americans are internet users.<\/p>\n<p>In contrast, 77 percent of older African-Americans and 92 percent of African-American adults overall own a cellphone, providing what the USC research team called a \u201clevel playing field\u201d and the means to reach its target audience.<\/p>\n<h2>Poor sleep a risk factor for Alzheimer\u2019s<\/h2>\n<p>USC researchers enrolled 225 African-Americans ages 45 years and over from senior centers, churches, senior residential communities and social clubs in Los Angeles. They randomly assigned participants to three different interventions and conducted pre- and post-intervention surveys to evaluate their effectiveness.<\/p>\n<p>First, one group of participants received standard printed materials on Alzheimer\u2019s and attended a 60-minute, culturally tailored talk show format event held at a large community site. Second, another group received the materials, attended the talk show and also received daily text messages designed to increase knowledge about Alzheimer\u2019s by providing \u201cnudges\u201d to engage in healthy brain behaviors.<\/p>\n<p>Third, a different group received the materials, attended the talk show event and received text messages that addressed the same kind of information as the general text messages but used colloquialisms, language and style that better resonated with older African-Americans.<\/p>\n<p>For example, a culturally tailored message about poor sleep, one risk factor for Alzheimer\u2019s, was worded: \u201cEvery shut eye ain\u2019t asleep. African Americans have poorer sleep than Whites. Poor sleep is a possible risk factor for AD. Lower your risk and get good sleep!\u201d<\/p>\n<p>In another culturally tailored message designed to encourage mental stimulation, researchers substituted a suggestion in the general text messages to play Scrabble and Sudoku with a culturally tailored suggestion to play games popular in the African-American community such as bid whist, dominoes or spades.<\/p>\n<p>While all three groups had measurable increases in Alzheimer\u2019s literacy from baseline (measured by the Alzheimer\u2019s Disease Knowledge Scale, a set of 30 true\/false items), the group that received the culturally tailored text messages had the greatest increases in literacy.<\/p>\n<p>\u201cThere are no other interventions I\u2019m aware of that focus on Alzheimer\u2019s disease literacy in African-Americans,\u201d Lincoln said. \u201cIn addition to being culturally appropriate and tailored, it\u2019s fairly low-tech, which is very important as we\u2019re talking on average about a low-literate, low-computer-use population.\u201d<\/p>\n<p><strong>By\u00a0<a href=\"https:\/\/news.usc.edu\/author\/jenesse-miller\/\">Jenesse Miller<\/a><\/strong><\/p>\n\n\n\n<\/div>\n  <\/div>\n\n\n  <\/div><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":168,"featured_media":2240,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"advgb_blocks_editor_width":"","advgb_blocks_columns_visual_guide":"","footnotes":"","_links_to":"","_links_to_target":""},"categories":[6],"tags":[139,135],"class_list":["post-2679","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-press-release","tag-medicine-engineering-science-and-humanities-program","tag-mesh"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v26.9 (Yoast SEO v26.9) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Culturally tailored text messages 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