Derivation and pilot assessment of a health promotion program for Mandarin-speaking Chinese older adults.

As the percentage of older adults of diverse ethnicities increases in the United States, the call for culturally sensitive health care service strategies that target the special needs of older people grows. The present report describes methods used to adapt a health care program so that it would better meet the needs of a group of well, older Mandarin-speaking Chinese residents of Los Angeles. The specific qualitative research procedures that we used to adapt the treatment program are described, along with the particular adaptations that emerged. Additionally, outcomes from a randomized pilot experiment are presented that are consistent with the notion that the adapted program was effective in reducing health-related declines among older Mandarin-speaking men and women. The overall outcome of this project is in agreement with other reports in the health care literature that address the importance of providing culturally sensitive health care service for elders.

Psychometric properties of a Chinese translation of the SF-36 health survey questionnaire in the Well Elderly Study.

OBJECTIVES: To evaluate the psychometric properties of a Chinese translation of the 36-item Short Form Health Survey (SF-36) in the Well Elderly Study--a randomized clinical trial designed to evaluate the effectiveness of preventive occupational therapy services specifically tailored for multiethnic, independent-living, older adults. METHODS: Translation and back-translation procedures were used to obtain appropriate meanings for the SF-36 survey questions and to ensure face, functional, and conceptual equivalence. RESULTS: Statistical analyses demonstrated satisfactory reliability and validity, with the results generally similar to those reported for older Anglo adults. DISCUSSION: As the percentage of older adults of diverse ethnicity increases, the need for health care research and service strategies that can effectively include multiple ethnicities becomes paramount. The results of this study suggest that a Chinese-translated SF-36 can be used to assess multiple dimensions of health in a Mandarin-speaking population of older adults.

Hemispheric asymmetries in vigilance and cerebral arousal mechanisms in younger and older adults.

Younger and older adults responded to an asterisk presented to either the left or right visual field, with delay interval between onset of a fixation cross and onset of the asterisk varied. At delay intervals longer than 3 s, reaction time was faster when the same visual field was stimulated on 2 successive trials than when different visual fields were stimulated. This prefield effect was larger in the left visual field (right hemisphere), consistent with hypotheses of hemispheric asymmetry for arousal and vigilance. For older adults, these results were obtained only when participants responded with the left hand, suggesting that some aspects of hemispheric asymmetry for attention-related processing or the efficiency of interhemispheric transfer may change in an age-related fashion.

Multitask analysis of cerebral hemisphere specialization in monozygotic twins discordant for handedness.

This study constitutes a multitask appraisal of cerebral hemisphere specialization with 13 monozygotic (MZ) twin pairs discordant for handedness. Tasks included dichotic listening, finger tapping with concurrent loads, two tachistoscopic visual half-field tests, and a free-vision face test. Overall, MZ twins showed similar performance asymmetries on most tasks. Different asymmetries, however, were observed on the finger tapping with anagram load and visual half-field with chair stimuli. In these instances, asymmetries for left- and right-handed MZ twins were more similar to patterns reported in the literature for left- and right-handed singletons, respectively, than for opposite-handed co-twins.

Lateralized dual task interference in left-handers: initial value differences do not affect the outcome.

The study was conducted to clarify factors involved in dual-task finger-tapping interference. Left-handers, as assessed by hand-writing preference and left-hand baseline tapping advantage, tapped both alone and while solving anagrams. Even though the left-hand baseline tapping advantage was experimentally removed on some (adjusted) trials, greater left- than right-hand tapping interference was observed during concurrent task performance. This result coupled with previous findings for right-handed subjects [Kee and Cherry, Neuropsychologia, Vol. 28, pp. 313-316, 1990] indicates that lateralized interference effects are not merely due to initial baseline tapping differences as proposed by Willis and Goodwin [Neuropsychologia, Vol. 25, pp. 719-724, 1987].

Age differences and similarities in patterns of cerebral hemispheric asymmetry.

Younger (M age = 20.4 years) and older (M age = 70.7 years) adults participated in 3 visual half-field experiments. These were designed to examine specific aspects of hemispheric asymmetry: (a) hemispheric dominance for phonetic-linguistic processing (as measured by identification of non-word trigrams), (b) hemispheric differences in trigram processing strategy, (c) characteristic perceptual biases thought to reflect hemispheric arousal asymmetries, and (d) hemispheric dominance for processing emotions shown on faces. Patterns of left-right asymmetries were comparable for older and younger participants, and intercorrelations among the various measures of asymmetry were similar for both groups. In view of the present results, it seems unlikely that changes in hemispheric asymmetry contribute significantly to age-related changes in cognitive functioning.