207808 Health promotion interventions for family caregivers: Effectiveness in serving the needs of the Jewish community

Tuesday, November 10, 2009

Reuven G. Becker, MBA, MS, ORD Rabbi , L'Orech Yomim/Center for Healthy Living, Inc., Flushing, NY
Lee Caplan, PhD , Department of Community Health and Preventive Medicine, Morehouse School of Medicine, Atlanta, GA
Ephraim Shapiro, PHD, MPA, MBA , School of Medicine, New York University, New York, NY
Mendel Singer, PhD , Department of Epidemiology and Biostatistics, Case Western Reserve University, Cleveland, OH
Informal family caregivers significantly reduce the cost of elder care and improve health care outcomes. Caregiver ‘burn-out' is of major concern, resulting in increased cost and negative health care outcomes to both giver and receiver. Literature identifies multiple interventions as effective in assisting the caregiver: support groups, respite, counseling, transportation assistance, and role competency.

Usual methods of health promotion and education may suffer from cultural incompetence when trying to reach out to the orthodox Jewish community. As a result, caregivers from this community may not possess the health knowledge and awareness of supportive services to maximize care for their loved one, or minimize their caregiver burden.

Design and Methods: In-depth semi-structured interviews of 16 Jewish community leaders and self-administered surveys of 160 caregivers in four large Jewish communities: Atlanta, Cleveland, New York City, Los Angeles. Community leaders were questioned about their health promotion and educational activities for eldercare and relieving caregiver burden, and their efforts to deal with differing culture and social networks in different segments of the Jewish community. Initiatives of secular and religious Jewish organizations are compared. The Zarit Caregiver Burden Interview was used in the surveys. Caregivers are also asked about their sources of health information, their awareness of services, and the helpfulness and cultural sensitivity of health educational materials found in doctors offices, senior centers and Jewish community centers. Comparisons are made across communities, and overall responses are compared to general population results from the literature. Strategies to better service this population group are identified.

Learning Objectives:
Identify two Jewish cultural and religious factors that have an impact on the design of effective health promotion activity. Describe how to design programming that is culturally appropriate and prootes their well being and health as it meets the needs of family caregiver of the Jewish faith; Discuss whether the Jewish community may warrant specialized, proactive culturally appropriate programming to remove barriers to care.

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Initiated the study. As Founder/Director, LOY/Center for Healthy Living, Inc. a grass-roots community-based project have been providing community education, health promotion, information and referral services to the New York Jewish community since 1999. Its landmark “Caring for Our Elders” seminar series integrating the expertise of clinical professionals with those of the clergy has been replicated across the nation. Authored a self-help book for caregivers; completed a second. Thirty years of senior executive level experience and success in planning, development and implementation of long term, ambulatory care, and social service programs. Close to continuous APHA membership throughout this span. Ordained Rabbi. Taught graduate level courses. Prior APHA Scientific Conference Presentations: "Clinical and Cultural Issues in Caring for Older Adults", "Adult Day Program Experience: Implications for Policy and Practice", and "Emergency Care of the Elderly: Experience of an HMO."
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.