E L DE RS’ ST ORYT E L L I NG PROJE CT - I NN-04 F I NAL E VAL UAT I ON RE PORT F E BRUARY 2, 2016 F I NDI NGS OF PROCE SS AND OUT COME QUE ST I ONS F inal Re por t pr e par e d by: Sadhna Diwan, PhD Pr oje c t E valuator Pr ofe ssor , Sc hool of Soc ial Wor k Dir e c tor , Ce nte r on He althy Aging in Multic ultur al Populations (CHAMP)
PROCE SS QUE ST I ONS 1. Ho w do e s the utiliza tio n o f a c o mmunity wo rke r with c ultura l c o mpe te nc e c o ntrib ute to the se nio r's c o mfo rt le ve l in e xpre ssing his pe rso na l me mo rie s? 2. Ho w do e s the inc lusio n o f a fa mily me mb e r thro ug ho ut the a c tivity a ffe c t the re la tio nship b e twe e n the se nio r a nd the fa mily me mb e r a t the c o nc lusio n o f the a c tivity? 3. Ho w do e s the e xe rc ise o f c a pturing the se nio rs’ life sto rie s thro ug h so me e xpre ssive a rts me dium a nd pre se nting the m to the la rg e r c o mmunity c o ntrib ute to pre se rving pe rso na l a nd c o lle c tive histo ry? 4. Wha t a re the se nio rs’ pe rc e ptio ns o f the Sto ryte lling pro g ra m? (T his q ue stio n wa s a dde d in c o nsulta tio n with se rvic e pro vide rs a nd the Pro je c t L e a d sta ff).
PROCE SS QUE ST ION 1: HOW DOE S T HE UT IL IZAT ION OF A COMMUNIT Y WORKE R WIT H CUL T URAL COMPE T E NCE CONT RIBUT E T O T HE SE NIOR'S COMF ORT L E VE L IN E XPRE SSING HIS PE RSONAL ME MORIE S? Ha ving a c ommunity wor ke r with c ultur a l c ompe te nc e c ontr ibute d to the se nior s’ c omfor t in • e xpr e ssing the ir pe r sona l me mor ie s. Clie nts we re ove r whe lming ly positive in the ir r e sponse s on fe e ling like the ir c ultur a l tr a ditions • c ommunic a te d we ll with the m . we r e unde r stood a nd tha t the ir wor ke r While the ma jo rity c o nc urre d tha t ha ving a wo rke r o f a simila r c ultura l b a c kg ro und wa s he lpful • fo r b uilding ra ppo rt a nd fa c ilita ting the sto ry te lling pro c e ss, the r e sponse s we r e some wha t mixe d whe n a ske d if the y would be just a s c omfor ta ble sha r ing the ir stor ie s with a wor ke r fr om ound, sug g e sting tha t pe rha ps mo re a c c ultura te d c lie nts, o r tho se a nothe r c ultur a l ba c kg r mo re flue nt in E ng lish c o uld fe e l c o mfo rta b le with wo rke rs o f o the r c ultura l b a c kg ro unds. F urthe rmo re , the se finding s ma y a lso re fle c t the e xpa nsio n o f the ta rg e t po pula tio n to inc lude • no n-Hispa nic a nd no n-Vie tna me se c lie nts, thus re duc ing the “c ultura l fit” b e twe e n pe e r spe c ia lists a nd c lie nts. Qua lita tive da ta indic a te tha t spe c ific c ounse lor c ha r a c te r istic s suc h a s the c ounse lor ’s • c ha r a c te r , pr ofe ssiona l c ompe te nc e , a nd r e la tiona l skills he lpe d e nha nc e the stor yte lling ie nc e . Ho we ve r, it is a lso impo rta nt to no te tha t the se re sults o n the c ultura l c o mpe te nc e e xpe r pro c e ss q ue stio ns a re b a se d o n re spo nse s o f fe we r tha n 50% o f c lie nts who c o mple te d the inte rve ntio n.
PROCE SS QUE ST ION 2: HOW DOE S T HE INCL USION OF A F AMIL Y ME MBE R T HROUGHOUT T HE ACT IVIT Y AF F E CT T HE RE L AT IONSHIP BE T WE E N T HE SE NIOR AND T HE F AMIL Y ME MBE R AT T HE CONCL USION OF T HE ACT IVIT Y? Inc luding a fa mily me mbe r in the Stor yte lling pr oc e ss positive ly influe nc e d the r e la tionship • b e twe e n the se nio r a nd the fa mily me mb e r(s). Pro vide r a g e nc ie s indic a te d tha t slig htly le ss tha n ha lf of a ll pa r tic ipa nts ha d one or mor e • tic ipa te in the Sto ryte lling inte rve ntio n. fa mily me mbe r s pa r Re a so ns fo r la c k of fa mily pa r tic ipa tion inc lude d not ha ving a ny fa mily a r ound , o r fa mily • k a ll da y whic h pre c lude d the ir pa rtic ipa tio n in the Sto ryte lling me mbe r s be ing a t wor inte rve ntio n. Ho we ve r, whe n c lie nts we re a ske d if the inte r ove me nt is re la tio nships ve ntion r e sulte d in impr • with fa mily/ frie nds, 76% of AACI’s c lie nts a nd 44% of Ga r dne r ’s c lie nts r e sponde d a ffir ma tive ly. T he qua lita tive da ta pro vide so me c o nte xt to the se finding s. T ha t is, the sto ryte lling • inte rve ntio n le a d to impr ove me nt in fa mily r e la tionships thr oug h impr ove d c ommunic a tion a nd sha r e d unde r sta nding of the c lie nt’s life stor y. Whe n no c ha ng e s in fa mily r e la tionships we re no te d it wa s be c a use the r e la tionships we r e • a lr e a dy positive or no fa mily me mbe r s we r e a va ila ble , or just simply tha t the r e ha d be e n no c ha ng e .
PROCE SS QUE ST ION 3: HOW DOE S T HE E XE RCISE OF CAPT URING T HE SE NIORS’ L IF E ST ORIE S T HROUGH SOME E XPRE SSIVE ART S ME DIUM AND PRE SE NT ING T HE M T O T HE L ARGE R COMMUNIT Y CONT RIBUT E T O PRE SE RVING PE RSONAL AND COL L E CT IVE HIST ORY? Ab o ut 50% of a ll c lie nts pr e se nte d the ir stor ie s or a r twor k a t one of 6 c ommunity e ve nts • he ld b y e a c h pro vide r a g e nc y, a nd se ve r a l c lie nts a tte nde d subse que nt c ommunity e ve nts to suppor t the ir pe e r s. F o r AACI, ma ny c lie nts pr a l c ommunity e ve nts , whic h ma y e se nte d the ir stor y a t se ve r • ha ve e nha nc e d the ir e c onne c te d with the c o mmunity. e xpe r ie nc e of fe e ling mor Simila rly, fo r Ga r dne r , the r e we r e six stor ie s tha t we r e use d a g a in for the T e a tr o Vision c ommunity e ve nt. T he ma jor ity of c lie nts who a tte nde d a c ommunity e ve nt or pr e se nte d the ir stor y or • y positive ly a b o ut the e xpe rie nc e , e spe c ia lly fo c using o n the impr a r twor k spoke ve r ove d c onne c tion with the ir c ommunity, liste ning to othe r s’ life e xpe r ie nc e s, a nd sha r ing the ir own. T he str ma t o f the c o mmunity e ve nts (c lie nt pre se nta tio ns a nd inviting the uc tur e a nd for • la rg e r c o mmunity to a tte nd) g r e a tly e nha nc e d the pr e se r va tion of pe r sona l a nd c olle c tive histor ie s a s c lie nts e njoye d sha r ing the ir stor ie s a nd liste ning to othe r s’ e xpe r ie nc e s, a s did the a tte nde e s (fa mily me mbe r s a nd the g e ne r a l public ).
PROCE SS QUE ST ION 4: WHAT ARE T HE SE NIORS’ PE RCE PT IONS OF T HE ST ORYT E L L ING PROGRAM? (T HIS QUE ST ION WAS ADDE D IN CONSUL T AT ION WIT H SE RVICE PROVIDE RS AND T HE PROJE CT L E AD ST AF F ). T he Sto ryte lling pro g ra m wa s we ll r e c e ive d b y the se nio rs a nd the ir fa milie s. • Sixty- e ig ht pe r c e nt of the sa mple ha d a sc or e of 6 on the T r e a tme nt Sa tisfa c tion Sc a le indic a ting • the g r e a te st sa tisfa c tion with tr e a tme nt. Qua lita tive c o mme nts o n re a so ns fo r r e c omme nding the pr og r a m to othe r s r e fle c te d • a ppr e c ia tion of the r e minisc e nc e a c tivity, r e duc tion in isola tion, a nd impr ove me nt in mood for c lie nts.
OUT COME QUE ST I ONS 1. Ho w ma ny se nio rs e ng a g e in this pro g ra m? 2. Ho w do e s the pro g ra m a ffe c t the se nio rs’ q ua lity o f life a nd da ily func tio ning ?
OUT COME QUE ST ION 1: HOW MANY SE NIORS E NGAGE D IN T HIS PROGRAM? T he pro vide rs we re suc c e ssful in e ng a g ing e thnic minor ity se nior s of Vie tna me se or Me xic a n • ig in tha t we re the ta rg e t po pula tio n fo r this pro je c t. or uitme nt wa s do ne thro ug h outr e a c h in non- me nta l he a lth se tting s suc h a s se nio r Clie nt r e c r • c e nte rs, we llne ss fa irs a nd o the r c o mmunity e ve nts, a nd se nio r ho using . A to ta l o f 206 c lie nts we r e e nr olle d in the inte r ve ntion with 165 c lie nts c omple ting the • inte r ve ntion a nd the post- te st me a sur e me nts. T he ove r a te wa s 12% a nd c o uld b e a ttrib ute d to a va rie ty o f re a so ns suc h a s: a ll a ttr ition r • c lie nts we re no lo ng e r inte re ste d in pa rtic ipa ting ; did no t like a nswe ring the e lig ib ility a nd e va lua tio n q ue stio ns; se rio us illne ss in c lie nt o r fa mily; a nd ne e ding a hig he r le ve l o f me nta l he a lth c a re . T he re we re 16 c a se s tha t we re still o pe n a t the time o f this re po rt. T he c o mb ine d de mog r a phic da ta o n c lie nts indic a te s tha t the c lie nts we re olde r (me a n a g e • = 75 ye a r s), fe ma le (62% ), the ma jor ity of c lie nts a r e Vie tna me se or Hispa nic (Me xic a n), who ofic ie nc y , se lf-de sc rib e d a s ha ving po o r to fa ir a b ility to spe a k, re a d, o r ha d limite d E ng lish pr write in E ng lish. Altho ug h a fe w c lie nts we re na tive b o rn the ma jor ity ha ve live d in the US for ying le ng ths of time . Ab o ut a qua r of the c lie nts live d a lone , a nd the ma jor va r te r ity fr om e n . both a g e nc ie s live d with e ithe r a spouse or with a spouse a nd a dult c hildr Pro g ra m imple me nta tio n da ta indic a te s tha t, o n a ve r a g e , c lie nts we r e se e n for 11 to 12 • s . se ssions a nd the a ve r a g e time spe nt on e a c h c omple te d c a se wa s 25 to 27 hour
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