title: Collaborative Evaluation of the Healthy Habits Program: An Effective Community Intervention to Improve Mobility and Cognition of Chinese Older Adults Living in the U.S.
abstract: OBJECTIVE
  There is a growing demand to reduce ethnic health disparities. The Healthy Habits Program (HHP) was implemented to provide a community-based physical activity and education intervention for Chinese older adults living in Boston, Massachusetts. This study evaluated the HHP by assessing outcomes that are critical for maintaining independence of older persons.
  
  
  METHODS
  Quantitative evaluation was performed on 50 Chinese older adults enrolled in the HHP. The community members were trained in data collection and management.
  
  
  METHODS
  Cognition (Mini Mental State Examination (MMSE), Trail Making Test and Complex Walking Task), mobility (Short Physical Performance Battery (SPPB) and maximal gait speed), depressive symptoms (Patient Health Questionnaire-9), perceived disability (World Health Organization Disability Assessment 2.0), nutritional status (Mini Nutrition Assessment®), and strength (grip and leg strength) were assessed at baseline and at 6 months. All tests were translated into Chinese.
  
  
  RESULTS
  Of the 50 participants (mean age 68.4 years; 68% female), 78% achieved the goal of performing exercise ≥3 times/week. After 6 months, clinically meaningful improvements were observed in mobility (mean SPPB score changed from 10.3 to 11.1 points; p=0.01) and cognition (mean MMSE score changed from 26.0 to 27.8 points; p=0.001). There were also statistically significant improvements in executive function, depressive symptoms and perceived disability (p<0.05).
  
  
  CONCLUSIONS
  Culturally sensitive community interventions, such as the HHP, are effective for improving mobility and cognition of Chinese older adults. This reveals the potential of promoting successful aging in minority populations through community settings, and should be advocated to reduce ethnic health disparities in the U.S.
authors.affiliation: Roger A. Fielding, PhD, Nutrition, Exercise Physiology and Sarcopenia Laboratory, Jean Mayer USDA Human Nutrition Research Center on Aging at Tufts University, 711 Washington Street, Boston, MA 02111, USA, Phone: +1-617-556-3016, Fax: +1-617-556-3083, E-mail: roger.fielding@tufts.edu.
authors.forename: C
authors.initials: C
authors.lastname: Hau
authors.forename: K F
authors.initials: KF
authors.lastname: Reid
authors.forename: K F
authors.initials: KF
authors.lastname: Wong
authors.forename: R J
authors.initials: RJ
authors.lastname: Chin
authors.forename: T J
authors.initials: TJ
authors.lastname: Botto
authors.forename: M
authors.initials: M
authors.lastname: Eliasziw
authors.forename: O I
authors.initials: OI
authors.lastname: Bermudez
authors.forename: R A
authors.initials: RA
authors.lastname: Fielding
mesh_terms: D000368:Aged; D000375:Aging; D001900:Boston; D002681:China / Q000208:ethnology; D003071:Cognition; D015331:Cohort Studies; D004185:Disability Evaluation; D056344:Executive Function; D015444:Exercise / Q000502:physiology*; D005260:Female; D006184:Habits; D015438:Health Behavior; D006266:Health Education; D054624:Health Status Disparities; D006801:Humans; D008297:Male; D008875:Middle Aged; D053580:Muscle Strength; D009752:Nutritional Status; D015397:Program Evaluation; D011795:Surveys and Questionnaires; D014145:Trail Making Test; D016138:Walking; D000072797:Walking Speed