Banghwa Lee Casado
University of Maryland, Baltimore
Network
Latest external collaboration on country level. Dive into details by clicking on the dots.
Publication
Featured researches published by Banghwa Lee Casado.
Journal of Applied Gerontology | 2007
Louise M. Quijano; Melinda A. Stanley; Nancy J. Petersen; Banghwa Lee Casado; Esther H. Steinberg; Jeffrey A. Cully; Nancy Wilson
This study evaluated an evidence-based intervention for depression delivered by case managers in three community-based service agencies to high-risk, diverse older adults. Case managers were trained to provide screening and assessment, education, referral and linkage, and behavioral activation. Outcomes addressed depression, general health status, social and physical activation, and mental health services use at baseline and 6 months. Participants (n = 94) were predominantly women (79%) and Hispanic (44%), with a mean age of 72 years. Mean Geriatric Depression Scale—15 scores differed significantly between baseline and 6 months (9.0 versus 5.5). At 6 months, significantly more participants knew how to get help for depression (68% versus 93%), reported that increasing activity helped them feel better (72% versus 89%), and reported reduced pain (16% versus 45 %). The authors conclude that nonspecialty providers can be trained to successfully implement an evidence-based self-management intervention for depression with frail, high-risk, and diverse older adults.
Journal of Aging and Health | 2011
Banghwa Lee Casado; Kimberly S. van Vulpen; Stacey L. Davis
Objective: This study examined unmet needs for home- and community-based services (HCBS) among frail older Americans. Method: Using population-based sample from the National Long-Term Care Survey, a hierarchical logistic regression analysis was conducted to examine the predictors of unmet needs for seven types of HCBS. Results: Lack of awareness, reluctance, unavailability, and affordability of services were the main reasons for unmet needs for HCBS. Factors that were associated with unmet needs included Black race/ethnicity, greater care needs (functional limitations and behavioral problems), and less informal support (substitute help and family agreement). Discussion: It is important to identify risk factors that may lead to older adults’ unmet needs for HCBS. The findings of this study charge researchers to look beyond service utilization and give more attention to service needs among those who did or could not access the services.
Journal of Applied Gerontology | 2008
Janet C. Frank; Cynthia Peltier Coviak; Tara C. Healy; Basia Belza; Banghwa Lee Casado
This article addresses health behavior change program fidelity using the five components of fidelity from the National Institute of Agings Behavior Change Consortia: fidelity in design, training, delivery, receipt, and enactment. Fidelity is a key issue in successful translational research projects into community settings. The authors examine four programs sponsored by the Administration on Aging that target health behavior change in physical activity (EnhanceFitness), chronic disease self-management (Partners on the PATH [Personal Action Toward Health]), fear of falling and falls prevention (Matter of Balance), and depression management (Healthy IDEAS). This article (a) describes the tools and strategies used by these projects to track and enhance fidelity to the core elements of the original intervention studies, (b) compares and contrasts each projects mechanisms of fidelity, (c) provides examples of fidelity outcomes, and (d) discusses themes and lessons learned that may be useful to others in developing the “next generation” of program translation.
Research on Social Work Practice | 2010
Banghwa Lee Casado; Michin Hong; Donna Harrington
Objectives: The Migratory Grief and Loss Questionnaire (MGLQ) was designed to measure the grief experience associated with immigration. This article reports the development and psychometric properties of a Chinese-version of MGLQ. Methods: An exploratory factor analysis (EFA) using maximum likelihood extraction with varimax rotation was conducted to identify the factor structure of the MGLQ. Results: A two-factor solution was identified with Factor 1 representing ‘‘Attachment to Homeland’’ and Factor 2 representing ‘‘Identify Discontinuity.’’ Both factors had excellent internal consistency reliability and concurrent validity as demonstrated by predicted relationships with depression scores. Conclusions: This study supported the validity and the reliability of the MGLQ, demonstrating its utility in assessing the migratory grief experience among immigrants.
Journal of Women & Aging | 2009
Banghwa Lee Casado; Barbara Resnick; Sheryl Zimmerman; Eun-Shim Nahm; Denise Orwig; Kelley Macmillan; Jay Magaziner
ABSTRACT Using the data of the Baltimore Hip Study 5 (a home-based exercise intervention), this study examined how social support for exercise by experts (SSE-E) affected the self-efficacy, outcome expectations, and exercise behavior among older women following a hip fracture. The total sample included 164 females aged 65 years (M = 81.0; SD = 6.9) who had surgical repair of a nonpathologic hip fracture. Model testing showed a direct relationship between SSE-E and outcome expectations for exercise. There was, however, no direct or indirect relationship between SSE-E and self-efficacy or exercise behavior. The positive effect of SSE-E on the outcome expectations for exercise in older women recovering from a hip fracture provides an opportunity for health care providers in improving physical activity in this population.
Clinical Gerontologist | 2015
Banghwa Lee Casado; Sang E. Lee; Michin Hong; Seokho Hong
Despite the rapid growth of the older ethnic minority population, knowledge about dementia care for this population is limited. This study examined the experience of dementia caregiving among Korean Americans. We conducted four focus groups with 23 family caregivers of older Korean Americans with dementia symptoms and identified eight themes: (a) struggling and overwhelmed; (b) keeping the cultural roles and responsibility; (c) doing it by themselves; (d) family as a source of stress; (e) limited knowledge and misconceptions; (f) learning as they go; (g) undiagnosed dementia and misunderstandings about medical care; and (h) barriers to use of services and need for culturally responsive services. The findings underscore that Korean Americans need dementia caregiver programs that are linguistically and culturally responsive.
Clinical Gerontologist | 2011
Sang E. Lee; Banghwa Lee Casado
To understand the future demand for community services use in dementia care, this study examined attitudes toward community services use in potential dementia situations among 209 Korean Americans, using a self-administered questionnaire in Korean. Findings revealed that, contrary to expectations about filial/family responsibility in Asian culture, Korean Americans showed favorable attitudes toward using community services in dementia caregiving. Multivariate analysis showed that those who rate their health poorer, and have more social network and greater awareness of community services, are more likely to be favorable toward using community services. The study provides practitioners and providers with an understanding about intentions to utilize services in dementia care and suggests ways to prepare for future service demands in the Korean American community.
Home Health Care Services Quarterly | 2012
Banghwa Lee Casado; Sang E. Lee
This cross-sectional survey study of 146 caregivers of older Korean Americans explored access barriers to and unmet needs for home- and community-based services (HCBS) programs (respite care, adult day care, personal care, home health, housekeeping, and transportation). Most often reported access barriers were lack of awareness and care recipient refusal. Predictors of unmet needs varied depending on the type of service, but included caregiver gender, relationship, education, caregiving duration, Medicaid coverage, English proficiency, caregiver self-efficacy, care recipient functional dependency, cognitive impairment, and caregiving hours. This study highlighted unmet needs for HCBS in Korean American communities, pointing to the pressing need for a collaborative effort to develop plans that modify and expand HCBS programs for older Korean Americans.
Clinical Gerontologist | 2010
Paul Sacco; Banghwa Lee Casado; G. Jay Unick
When conducting clinical assessments in older adults of different races, it is important for a clinician to feel confident that his/her instruments work equivalently well for all races. To explore the ability of instruments to measure constructs equally well across older adults of different races, we conducted differential item functioning (DIF) analysis on the Interpersonal Support Evaluation List (ISEL-12). Eight ISEL items displayed negative DIF, indicating their lower endorsement among Blacks, Hispanics, and in some cases Asians, compared with Whites. Two items displayed positive DIF, suggesting higher endorsement on these items by Blacks and Hispanics than Whites. Once DIF was accounted for, however, only Asians endorsed lower levels of social support than the White reference group. Potential mechanisms of these differences and suggestions for addressing DIF when conducting clinical assessments were explored.
Home Health Care Services Quarterly | 2015
Michin Hong; Banghwa Lee Casado
This study examined how state expenditure on home- and community-based services (HCBS) and individual factors are associated with caregiver stress. A total of 1,849 cases from the 2004 National Long-Term Care Survey were included. Gender, education, perceived physical strain, and economic hardship, as well as the number of limitations in instrumental activities of daily living (IADL) for the care recipient, were associated with caregiver stress. The cross-level interaction between service utilization and state expenditure on HCBS was significant, suggesting that living in states with a higher expenditure on HCBS is associated with reduced stress regardless of service utilization.