Abstract

Improving socially supported serious illness care for the LGBTQ+ older people community in rural Massachusetts

Raeann LeBlanc, Phd, DNP, AGPCNP-BC, CHPN1, Susan Shaw, PhD2 and Jessamyn Smith, MFA, PhD Student Community Health Education3
(1)Royalston, MA, (2)University of Massachusetts, Springfield, MA, (3)University of Massachusetts Amherst, Amherst, MA

APHA 2025 Annual Meeting and Expo

The “Doula Pride” program centers social support for LGBTQ+ older people with serious illness using a community engaged innovative and sustainable supportive network approach. Through training and social connection "Doula Pride" aimed to decrease social isolation and bolster community based social capital. This pilot intervention used a multi-methods design to test feasibility among a cohort of LGBTQ+ doula informed carers who completed a 4-week doula informed LGBTQ+ training matched with LGBTQ+ persons with serious illness in a rural New England County. Pre-post surveys, a focus group, and open-ended interviews evaluated self-efficacy, social support, social isolation, social networks, bonding and bridging social capital at the individual and community levels. Results support the overall feasibility with the exception of recruiting participants from local Long-term Care facilities. Thirteen female and non-binary, lesbian and bisexual doula-pride informed carers completed training. Just over half were matched with an LGBTQ+ older adult in the community, 5 lesbian women and 2 gay men, living with serious illness. A total of 29 visits were completed during the 4-month practice period. The processes of community engaged planning, curriculum design, recruiting and matching carers, and lessons learned in the process, will be discussed. The “Doula Pride” community engaged program fostered social support among LGBTQ+ people with serious illness and their carers using an innovative local network approach to address holistic social support and decreased social isolation. Our findngs show it is feasible to sustain this community program through close LGBTQ+ community engagement and ongoing evaluation.

Advocacy for health and health education Implementation of health education strategies, interventions and programs Other professions or practice related to public health Provision of health care to the public Public health or related nursing Social and behavioral sciences