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This article reviews the challenges encountered in the recruitment of urban older African-Americans in a study to explore the effects of interactive educational intervention on functional health literacy and diabetes knowledge. Our methods included identification of challenges related to the individual characteristics of seniors' centers that serve as recruitment sites. It is concluded that the recruitment and retention of underrepresented minorities to clinical research are associated with particular characteristics of the recruitment sites. (Contains 1 table.)

This study evaluated the effect of a transformative learning (TL) intervention on functional health literacy and diabetes knowledge in older African Americans. Twenty participants from senior community centers completed a six-session intervention. The short-form Test of Functional Health Literacy in Adults (s-TOFHLA), Literacy Assessment for Diabetes (LAD), and Diabetes Knowledge Test (DKT) were used to perform pre- and postmeasurements. Postintervention s-TOFHLA scores and DKT scores were significantly increased (p less than 0.5). Participants' verbal responses further affirmed the positive influence of the TL principles.(Contains 3 tables.)

Urban-dwelling African American older adults are disproportionately victimized by systems, which relegate them to disparities in health, education, and economic security as well as inequitable access to resources that support overall wellness (Brown, 2010; Jackson et al., 2004; Kahn & Pearlin, 2006; Zhang et al., 2016). The COVID-19 pandemic of 2020–2021 revealed poorer outcomes and a "double jeopardy" for African American older adults who suffered poor health outcomes (Chatters et al., 2020). As a result, avenues to promote healthy aging through health and wellness literacy, self-empowerment, and social-community connections are critical (Chatters et al., 2020; Pourrazavi et al., 2020; Waites, 2013). A qualitative study was conducted with African American older adults in Detroit to understand how to promote health literacy and overall wellness for those who are aging in place. An empowerment-oriented wellness framework (Dunn, 1961; Dunn, 1977; Hettler, 1976) was employed. Findings indicated that these African American older adults aging in the urban communities strived to maintain their independence while recognizing that they may need some assistance as they age in place. While some elders defined themselves by their disability and expressed feelings of being pushed aside by family and society, many rejected stereotypes associated with aging and reinforced a sense of pride and empowerment. They called for programs to: 1) assist older adults with health literacy and a comprehensive understanding of overall wellness; and, 2) provide activities and tools to support proactive overall wellness; and 3) employ strategies that actively encourage social engagement as well as outreach to their less engaged peers. Participants also suggested that a strategy to enlighten younger generations about the "senior world," and aging is also crucial. [ABSTRACT FROM AUTHOR]

This paper sets out to show that the concept of literacy is evolving and its conventional definition, "reading and writing," is no longer adequate. Literacy is now subjected to constant redefinition to reflect criteria for social, political, religious, and economic relevance and expectations. The definition must be reframed to capture the complexity of the modern world and to remain linked to individual empowerment in a democratic and dynamic society where minorities such as African Americans, disproportionately represented among the functionally illiterate, are handicapped and cannot fully engage in meaningful political, and economic exchanges that speak to their self-interest. [ABSTRACT FROM AUTHOR]