Implementing a dementia caregiver support strategy among Latinos in primary care

在拉丁裔初级保健中实施痴呆症护理人员支持战略

基本信息

批准号：
10557516
负责人：
Jaime Perales Puchalt
金额：
$ 18.69万
依托单位：
UNIVERSITY OF KANSAS MEDICAL CENTER
依托单位国家：
美国
项目类别：
财政年份：
2023
资助国家：
美国
起止时间：
2023-09-11 至 2028-08-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10557516
关键词：
Address Adherence Caregiver support Caregivers Caring Centers of Research Excellence Clinic Communities Community Health Aides Consolidated Framework for Implementation Research Cues Dementia Dementia caregivers Development Disparity Effectiveness Emotional Equity Family Family Caregiver Feasibility Studies Goals Health Services Accessibility Health behavior Health education Individual Inequity Intervention Interview Knowledge Latino Latino Population Lead Manuals Mental Depression Mentors Methods Modality Modeling Parents Patients Positioning Attribute Primary Care Provider Resources Services Specific qualifier value Stress Stress and Coping Structure Support Groups Testing Training Work arm caregiver stress caregiving community engagement dementia care depressive symptoms design effectiveness trial evidence base experience family caregiving feasibility testing health disparity implementation facilitators implementation science implementation strategy learned behavior practice-based research network pragmatic trial primary care clinic primary care provider primary outcome recruit satisfaction secondary outcome skills social learning stress symptom trial design

项目摘要

PROJECT SUMMARY/ABSTRACT: PROJECT 3 (PERALES-PUCHALT) Latino caregivers of individuals with dementia (IWDs) experience disproportionate levels of stress, depression, and poor access to caregiver community resources. Caregiver support interventions can reduce caregiver stress by providing knowledge and skills regarding dementia, caregiving, available community resources, and coping with stress. Unfortunately, most primary care clinics offer little in terms of caregiver support for their patients with dementia. Community health workers (CHWs) are being used in many primary care clinics to provide culturally tailored health education and connections with community resources, but to our knowledge have not been specifically engaged in providing support for caregivers of IWDs. There is a unique opportunity to engage CHWs in efforts to implement caregiver support interventions among Latinos in primary care. The overall objective of this project is to inform the development of an implementation strategy in which CHWs deliver ¡Unidos Podemos! among Latinos in primary care. ¡Unidos Podemos! is a culturally tailored evidence- based caregiver support intervention for Latinos. We propose an implementation strategy that leverages CHWs already working in primary care and provides them with the training, resources and ongoing support needed to implement ¡Unidos Podemos!. On Aim 1 we will identify barriers and facilitators to the implementation of ¡Unidos Podemos! by CHWs among Latinos in primary care. On Aim 2 we will test the feasibility of a CHW- support strategy for implementing ¡Unidos Podemos! among Latino caregivers in two primary care clinics.

项目摘要/摘要：项目3（Perales-Puchalt）痴呆症患者（IWD）的拉丁裔照顾者的压力，抑郁，抑郁，并且无法获得照顾者社区资源。护理人员支持干预措施可以减少护理人员通过提供有关痴呆症，护理，可用社区资源和应对压力。不幸的是，大多数初级保健诊所在护理人员的支持方面几乎没有提供痴呆症患者。社区卫生工作者（CHW）正在许多初级保健诊所使用提供文化量身定制的健康教育和与社区资源的联系，但据我们所知尚未专门为IWD的护理人员提供支持。有一个独特的机会参与CHW，努力实施拉丁美洲人在初级保健领域的护理人员支持干预措施。这该项目的总体目标是告知CHWS的实施策略的制定交付âunidos podemos！在初级保健中的拉丁美洲人中。 âunidos podemos！是一个量身定制的证据 - 基于护理人员支持拉丁美洲人的干预。我们提出了一种利用CHW的实施策略已经在初级保健工作，并为他们提供所需的培训，资源和持续支持实施âunidos podemos！。在目标1上，我们将确定实施的障碍和促进者 âunidos podemos！由CHW在拉丁美洲人的初级保健中。在AIM 2上，我们将测试CHW-的可行性支持实施âunidos podemos的策略！在两个初级保健诊所的拉丁裔照顾者中。