The evaluation of a culturally appropriate, community-based lifestyle intervention program for elderly Chinese immigrants with chronic diseases: a pilot study

J Public Health (Oxf). 2014 Mar;36(1):149-55. doi: 10.1093/pubmed/fdt037. Epub 2013 Apr 17.

Abstract

Background: The 'Healthy Habits Program' is a 6-month community-based program, which offers exercise facilities, training and weekly health education group to underserved elderly Chinese Americans with chronic medical diseases in their native languages. This pilot study evaluates the acceptability and the health effects of the 'Healthy Habits Program'.

Methods: Ninety-nine subjects participated in the 'Healthy Habits Program' in 2011. Before and after the program, the participants were assessed in their physical and mental health using various fitness tests as well as measures of disability and psychological functioning.

Results: Participants provided overwhelmingly positive feedback on the program, which was associated with significant improvements in physical and mental health including a significant decrease in body mass index (BMI), blood pressure and increase in stamina. The participants reported lower mean scores on the Patient Health Questionnaire-9 item Scale (PHQ-9), indicating improved psychological well-being.

Conclusions: These promising pilot study results from this lifestyle intervention program for elderly Chinese American immigrants with chronic diseases inform the design of a more definitive trial using a randomized design and larger sample size.

Keywords: Chinese Americans; chronic diseases; community-based; elderly; treatment.

Publication types

  • Clinical Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Aged, 80 and over
  • Asian*
  • Chronic Disease / prevention & control*
  • Cultural Competency*
  • Emigrants and Immigrants / statistics & numerical data
  • Health Promotion / methods*
  • Health Status
  • Humans
  • Male
  • Middle Aged
  • Pilot Projects
  • Program Evaluation
  • Risk Reduction Behavior*