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

Ashley R. Shaw (), Mickeal N. Key, Samantha Fikru, Saria Lofton, Debra K. Sullivan, Jannette Berkley-Patton, Crystal M. Glover, Jeffrey M. Burns and Eric D. Vidoni
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Ashley R. Shaw: Department of Neurology, University of Kansas Medical Center, Kansas City, KS 66160, USA
Mickeal N. Key: Department of Neurology, University of Kansas Medical Center, Kansas City, KS 66160, USA
Samantha Fikru: Department of Neurology, University of Kansas Medical Center, Kansas City, KS 66160, USA
Saria Lofton: College of Nursing, University of Illinois Chicago, Chicago, IL 60612, USA
Debra K. Sullivan: Department of Dietetics and Nutrition, University of Kansas Medical Center, Kansas City, KS 66160, USA
Jannette Berkley-Patton: Department of Biomedical and Health Informatics, University of Missouri-Kansas City, Kansas City, MO 64108, USA
Crystal M. Glover: Department of Psychiatry and Behavioral Sciences, Division of Behavioral Sciences, Rush Medical College, Chicago, IL 60612, USA
Jeffrey M. Burns: Department of Neurology, University of Kansas Medical Center, Kansas City, KS 66160, USA
Eric D. Vidoni: Department of Neurology, University of Kansas Medical Center, Kansas City, KS 66160, USA

IJERPH, 2023, vol. 20, issue 17, 1-18

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

Keywords: diet intervention; older adults; black adults; community engagement; qualitative research; lifestyle interventions; Alzheimer’s disease (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2023
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