1. Feb 25, 2011 Lisa Willoughby, PhD – Psychology Hisako Matsuo, PhD – Sociology and Criminal Justice

2. Health service utilization among older new Americans: A cross-cultural community-based study of immigrants and refugees in St. Louis Immediate goals: To identify barriers to health services use and health concerns among older adults in the local Chinese and Bosnian communities

3.  PRF Community Based Research  An excellent vehicle for “living the mission” ▪ Service to humanity ▪ Honoring human dignity  Professionally and personally meaningful experience

4.  Three unique samples: ▪ Bosnian (Bosnia-Herzegovina) ▪ Chinese ▪ U.S. born  Primary method: focus groups and questionnaires

5.  We connected with complimentary interests Aging, memory, health (Willoughby) Immigration, urban issues (Matsuo)

6.  Planning started in 2008  Applications for external & internal funding ▪ Single population (Bosnian) ▪ Rejected, but not discouraged ▪ Listened to feedback ▪ Expanded focus: Included Chinese community (success in 2010!)

7.  Understanding the population context is key  Culture, language, and trust  Relationships in the Bosnian Community ▪ Hisako Matsuo: Many years to develop existing relationships  Relationships in the Chinese Community ▪ NEW: Took over 1 year … still developing relationships  Relationships with organizations that serve immigrants ▪ OLD and NEW: Has taken a long time to develop (still developing)

8.  Phase 0: Identified gaps in the literature and met with community partners to discuss the plan (pre-submission)  Phase 1: Refined procedures with feedback from community partners  Phase 2: Data collection  Phase 3: Disseminate information in communities through fora  Phase 4: Discuss future directions with partners

9.  Essential personnel hired from the community  All stages: planning, execution, and review of results  Partners are welcome to use the study findings in their efforts to secure funding  Community forum

10.  The Office of the President  The Center for Service and Community Engagement  The Office of Research Services  PRF reviewers  Community Partners  Participants  Carrie Brown, SLU graduate student (Psych)  Minghao Gao, SLU graduate student (Soc & CJ)  Mirela Grabic, SLU undergraduate student (Psych)  And many more!