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首页> 外文期刊>The American journal of geriatric psychiatry: official journal of the American Association for Geriatric Psychiatry >Improving Health-Related Quality of Life in Older African American and Non-Latino White Patients
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Improving Health-Related Quality of Life in Older African American and Non-Latino White Patients

机译：改善老年非洲裔美国人和非拉丁裔白人患者的健康相关生活质量

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摘要

To compare the effect of problem-solving therapy against a health-promotion intervention (dietary practices) on health-related quality of life (HRQOL) and examine if there is a differential effect on non-Latino white patients and African American patients between the two interventions. This paper also explores participant characteristics (problem-solving style and physical functioning) as potential predictors of HRQOL. Methods: Secondary analysis of data from a randomized depression prevention trial involving 247 older adults (154 non-Latino white, 90 African American, 3 Asian). Participants were randomly assigned to receive either problem solving therapy for primary care (PST-PC) or coaching in healthy dietary practices (DIET). Results: Both PST-PC and DIET improved HRQOL over two years and did not differ significantly from each other. African American patients in both conditions had greater improvements in mental health-related quality of life (MHRQOL) compared with non-Latino white patients. In addition, higher social problem-solving and physical functioning were predictive of improved MHRQOL. Conclusion: PST-PC and DIET have the potential to improve health-related quality of life in a culturally relevant manner. Both hold promise as effective and potentially scalable interventions that could be generalized to highly disadvantaged populations in which little attention to HRQOL has been paid.
机译：比较解决问题的疗法与健康促进干预（饮食习惯）对健康相关的生活质量（HRQOL）的效果，并检查两者之间是否对非拉丁裔白人患者和非裔美国人患者产生差异影响干预。本文还探讨了参与者特征（解决问题的方式和身体功能）作为HRQOL的潜在预测因素。方法：对一项涉及247名老年人（154名非拉丁美洲裔白人，90名非裔美国人，3名亚洲裔）的抑郁症预防随机试验数据进行二次分析。参与者被随机分配接受基础治疗的问题解决疗法（PST-PC）或健康饮食实践的教练（DIET）。结果：PST-PC和DIET在两年内均改善了HRQOL，彼此之间无显着差异。与非拉丁美洲裔白人患者相比，两种情况下的非洲裔美国人患者在与心理健康相关的生活质量（MHRQOL）方面都有更大的改善。此外，较高的社会问题解决能力和身体机能预示了MHRQOL的改善。结论：PST-PC和DIET具有以文化相关的方式改善健康相关生活质量的潜力。两者都有望成为有效且具有潜在可扩展性的干预措施，可以推广到极度贫困的人群中，而这些人群很少关注HRQOL。

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