| Title | Advancing Research in Transitional Care: Challenges of Culture, Language and Health Literacy in Asian American and Native Hawaiian Elders |
| Publication Type | Journal Article |
| Year of Publication | 2013 |
| Authors | Nishita, C, Browne, C |
| Journal | Journal of Health Care for the Poor and UnderservedJournal of Health Care for the Poor and Underserved |
| Volume | 24 |
| Pagination | 404-418 |
| Date Published | Feb |
| ISBN Number | 1049-2089 |
| Accession Number | WOS:000314734900034 |
| Keywords | Aging, Asian American, Chronic Disease, Churches, Culture, disparities, Health Literacy, heart-failure, intervention, management, Native Hawaiian, older-adults, pacific islander americans, program, quality, randomized controlled-trial, transitional care |
| Abstract | Recent federal policy supports an individual's preference for home and community-based long-term care, even among nursing home residents. Optimizing transitions from the nursing home to home is a complex undertaking that requires addressing the interrelationships between health literacy and cultural-linguistic factors in the nation's increasingly diverse older adult population. We look at four Asian American and Pacific Islander elder populations to illustrate that differing health profiles and cultural-linguistic values can affect the type of care and support needed and preferred. A research gap exists that links these factors together for optimal transitional care. The paper presents a conceptual framework and proposes a six-point research agenda that includes family assessments of health literacy abilities, exploring the relationship between culture, health, and decision-making, and the development/adaptation of transition planning tools. |
Ethno Med: