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Improving Vietnamese Immigrants' Cognitive Health Literacy Through University-Community Partnerships.
Christina E Miyawaki1, Nguyen T K Nguyen1, Tuong-Vi Ho2
1University of Houston, Houston, TX, USA.
Health Promotion Practice
|February 26, 2026
Summary
The Cognitive Health Initiative (CHAIN) addresses health needs of aging Vietnamese immigrants by offering memory tests. This program successfully trained students, conducted assessments, and fostered community partnerships.
Area of Science:
- Gerontology
- Public Health
- Community Health
Background:
- Vietnamese refugees and immigrants in the U.S. (N=2.3 million) have scarce health data, particularly aging populations with potential unmet needs.
- A high prevalence of physical, mental, and cognitive disabilities was identified in this demographic.
- Existing health resources often lack linguistic and cultural tailoring for this community.
Purpose of the Study:
- To report on the operations and outcomes of the Cognitive Health Initiative (CHAIN) over two years.
- To address the gap in cognitive health assessment and support for monolingual Vietnamese refugees and immigrants.
- To evaluate the effectiveness of a university-community partnership model in delivering culturally tailored health services.
Main Methods:
- Development of the Vietnamese Aging and Care Survey (VACS) for comprehensive health data collection (N=402).
- Implementation of the Cognitive Health Initiative (CHAIN) using a Cultural Exchange Model for training.
- Formation of mentor-mentee dyads of bilingual/bicultural Vietnamese university students for cognitive assessment (Vietnamese Montreal Cognitive Assessment - MoCA-V) training and delivery.
Main Results:
- Over 2023-2024, 52 students were recruited and trained, conducting 406 MoCA-V assessments at 16 health fairs.
- The mentor-mentee program successfully equipped students to independently administer cognitive assessments.
- Successful university-community partnerships were established, enhancing teamwork, accountability, and community responsibility.
Conclusions:
- The CHAIN program effectively provided linguistically and culturally tailored cognitive health assessments to the Vietnamese immigrant community.
- The Cultural Exchange Model and university-community partnerships are viable strategies for addressing health disparities in underserved populations.
- Further research is needed to understand long-term health outcomes and expand similar initiatives.
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