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Projects

Featured below is a sample of some of the academic-community partnered projects supported by L.A. CAPRA.

Click on investigator’s name to request additional information.

1. Los Angeles Stroke Prevention/Intervention Research Program in Health Disparities. Project III: Implementing and Testing a Culturally-Tailored Stroke Risk Factor Reduction Intervention in Community Senior Centers.

Catherine A. Sarkisian MD, MSPH – Principal Investigator

As many as 30% of ischemic strokes in the U.S. population can be attributed to physical inactivity. With the goal of eliminating racial/ethnic stroke disparities, this interdisciplinary team will develop, implement, and test a culturally-tailored behavioral intervention to reduce stroke risk (primary prevention) by increasing physical activity (walking) for 4 different racial/ethnic groups (Korean-Americans, Chinese-Americans, African-Americans and Latinos) in Los Angeles community senior centers. The intervention combines stroke and stroke risk factor knowledge (using materials developed by the American Heart Association and American Stroke Association) with theoretically-grounded behavioral change techniques and focuses on reducing stroke risk by increasing physical activity (walking).

2. Developing New Paradigms for the Recruitment of Minority Elders Using Community-Based Participatory Research

Gerardo Moreno MD, MSHS – Principal Investigator

The overall objective of this study is to increase our knowledge of recruitment and retention strategies for minority seniors that participate in studies of biological markers of health. Results from this project will inform community engaged scholarship and efforts by UCLA researchers and community partners, and enhance the opportunity for communities to engage in partnered translational research that focuses on older minority adults in South and East Los Angeles. In addition, findings from this project will be disseminated nationally through several venues including the NIA-funded Resource Centers for Minority Aging Research.

3.Community-Partnered Health Promotion “On The Move”: Utilizing Broadcast Media to Improve the Health and Quality of Life of Older Adults

Scott Kaiser, MD – Principal Investigator

“On the Move” is a theoretically-grounded broadcast media intervention aimed at improving the health and quality of life of older adults. UCLA investigators joined forces with the City of Los Angeles Department of Aging, Partners in Care Foundation, and LA Cityview 35 to produce a series of six 30–minute episodes promoting physical activity in an older adult population. The intervention demonstrates significant transformation in 12 individuals as they increase average daily physical activity to approach or exceed a 10,000 daily step goal. The series was initially broadcast on LA Cityview Channel 35 in June - August 2012 and is now available online. We are currently evaluating the impact of the OTM in community senior centers on physical activity levels.

This presentation contains additional information on the project.

4.Family Care of Older Latinos with Diabetes

Carolyn Mendez-Luck, PhD, MPH – Principal Investigator

The objective of this project is to study the family environment of Mexican diabetic elders and how their family members help them manage their diabetes. More specifically, the study examines the caregiving experience of Mexican men and the care receiving experiences of Mexican diabetic elders living in the greater East Los Angeles area.

5.Characterizing Frailty Among Homeless Adults

Benissa Salem, RN, MSN, PHN – Principal Investigator

We set out to determine the association between the frailty syndrome and sociodemographic and behavioral characteristics among homeless populations (ages 40-73 years) in the Skid Row expanses of Los Angeles. In the final path model, significant predictors of frailty included educational attainment, comorbid conditions, nutrition, resilience, and falls. Our findings should influence the development of interventions to decrease the impact of frailty among older homeless adults.

6.Vulnerability of Older Adults to Fraud

Shelley Taylor, PhD – Principal Investigator

Older adults are disproportionately vulnerable to a wide range of dubious financial schemes. We will use experimental and neuroimaging methodologies to explore social and neural bases of this vulnerability. We will examine whether there are age differences in trust and if older adults are less likely to use cues of untrustworthiness for decoding facial expressions, examine whether patterns of neural activity underlying judgments of trustworthiness vary by age, test whether older adults evaluate financial messages that vary in credibility more positively than younger adults, and examine whether older adults show lower ability to detect deceit in response to deceit cues. Our findings should lead to interventions to help older adults avoid fraud.

Published in Proceedings of the National Academy of Sciences of the United States of America

7. Where Do Older Adults Go?

Kenrik Duru, MD – Principal Investigator

We used global positioning system (GPS) devices to track the travel patterns of 40 older adults (mean age: 69) in San Francisco and Los Angeles and concurrently collected survey responses about travel patterns. GPS data showed a mean of four trips/day, and a mean trip distance of 7.6 km. Survey data indicated that older adults commonly made trips for four activities (e.g. volunteering, work, visiting friends) at least once each week and regularly traveled outside their residential neighborhoods.

Published in Journal of Applied Gerontology

8. Effectiveness of an Intensive Dietary Sodium Intervention in Elderly Latinos 

Aurelia Macabasco-O’Connell, PhD, RN - Principle Investigator

Chronic heart failure (HF) is primarily a disease of older adults. Its incidence approaches 10/1000 persons annually after age 65 and 80% of patients hospitalized with HF are older than 65 years. The overall goal of the project is to conduct a randomized controlled trial in 20 Latino patients with HF to evaluate the effects of a culturally-sensitive dietary sodium intervention (intensive counseling) compared to usual care (basic counseling).