How do we promote health? From the words of African American older adults with dementia and their family members

As population diversity increases,understanding what health promotion means to ethnically diverse older adults and their family members aids in the design of health programming. This understanding is particularly relevant for the African American population who experience a high prevalence of Alzheimer’s disease and related dementias (ADRD). The purpose of the current study was to describe family members’ definition of health,health promotion activities (HPAs),barriers to HPAs,and the perceived effectiveness of HPAs for African American older adults with ADRD. A qualitative descriptive design was used to collect data from African American family caregivers (n = 26) and care recipients (n = 18). Transcripts,journals,and field notes were reviewed using inductive content analysis. Common health promotion activities included taking care of self,positive attitude on life,social engagement,spiritual and religious activity,stimulation and active movement,and financial stability. This research informs person-centered care strategies for African American families caring for older adults with ADRD.