Developing a Culturally Immersive Psychoeducational Intervention for Black Immigrant Older Adults with Dementia and Their Caregivers: The Black Immigrant Project

为患有痴呆症的黑人移民老年人及其照顾者制定文化沉浸式心理教育干预措施：黑人移民项目

• 批准号: 10427008
• 负责人: Manka Nkimbeng
• 金额: $ 13.22万
• 依托单位: UNIVERSITY OF MINNESOTA
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-08-15 至 2027-04-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10427008
• 关键词: Address; African; African Caribbean; Alzheimer' s disease caregiver; Alzheimer' s disease related dementia; Alzheimer' s disease risk; American; Area; Behavior Therapy; Behavioral; Belief; Black race; Caregivers; Caring; Clinical Trials; Collaborations; Communities; Consultations; Country; Data; Data Analyses; Day Care; Dementia; Dementia caregivers; Development; Diagnosis; Discrimination; Distress; Education; Education Projects; Educational Intervention; Elderly; Evidence based intervention; Family; Feasibility Studies; Friends; Goals; Grant; Health; Health Services Accessibility; Home Care Services; Hour; Immersion; Immigrant; Immigrant community; Immigrant family; Immigration; Impaired cognition; Intervention; Interview; Knowledge; Language; Long-Term Care; Memory Loss; Mentored Research Scientist Development Award; Mentors; Mentorship; Methods; Minority; Modeling; Outcome; Participant; Peer Review; Perception; Persons; Population; Population Intervention; Populations at Risk; Pre-Post Tests; Publications; Quality of life; Research; Research Training; Resources; Risk; Sampling; Scientist; Services; Statistical Methods; Subgroup; Testing; Training; United States; United States National Institutes of Health; Writing; acceptability and feasibility; career; career development; caregiver education; caregiver stress; caregiving; cultural values; dementia care; dementia caregiving; design; effective intervention; efficacy testing; empowered; ethnic minority; ethnic minority population; evidence base; experience; feasibility testing; health care availability; health disparity; health inequalities; improved; informal caregiver; minority communities; programs; psychoeducational intervention; racial and ethnic; skills; social; social factors; social stigma; stress management; symposium; therapy development

Project Abstract Black immigrants are poised to make up a significant portion of the Black older adult population and similar to U.S. born Black older adults, are at risk of poor health outcomes related to dementia. However, few efforts have culturally adapted dementia care and caregiving interventions for racial/ethnic minority populations. Existing adaptations have not been systematically conducted or documented, and have not focused on Black immigrants. The objective of this K01 award is to acquire targeted training in the cultural adaptation and feasibility testing of behavioral interventions for racial/ethnic minority older adults. The candidate’s training goals are to: 1) Build expertise in dementia, cognitive impairment, and long- term care for Black immigrant older adults; 2) Expand skills in the development, delivery, and implementation of culturally relevant behavioral interventions for Black immigrants; 3) Design and conduct a feasibility study with community dwelling older adults; 4) Apply advanced statistical methods to analyze paired, longitudinal, pre-and post-test, and clinical trial data; and 5) Obtain the experience necessary to advance as a well-rounded successful independent scientist (e.g. grant writing expertise, increased first-author peer-reviewed publications, mentorship of junior scholars etc.). Mentored research training will occur in the context of a dedicated project with these specific aims:1) Explore the experiences and care strategies used by Black immigrant older adults with dementia and their informal caregivers. 2) Guided by the Ecological Validity Model, use the knowledge gained from Aim 1 to culturally adapt the evidenced-based Active Caregiving: Empowering Skills (ACES) for Black immigrant older adults with dementia and their informal caregivers. 3) Determine the feasibility and acceptability of the culturally adapted ACES intervention with Black immigrant older adults with dementia and their informal caregivers. The candidate’s mentoring team has extensive expertise in these areas and will offer mentoring, consultation, hands-on training, networking/collaborations and resources to facilitate the candidate’s career development. The 2020 NIA Dementia Care Summit Gaps and Opportunities highlights the need for research that explores differences in the effects of social and cultural determinants of dementia care and caregiving. Completion of this research and training meets this research need and will enable the candidate to become a successful independent scientist with substantive expertise in dementia care and cultural adaptation of interventions for racial/ethnic minority community-dwelling older adults. This is an important step towards improving health outcomes and eliminating health inequities for these populations.

项目摘要 黑人移民将占黑人老年人口的很大一部分 与美国出生的黑人老年人类似，他们也面临与以下相关的不良健康结果的风险 然而，很少有努力在文化上适应痴呆症护理和护理。 现有的适应措施尚未针对少数种族/族裔人口。 系统地进行或记录，并且没有关注黑人移民。 K01 奖项的目的是获得文化适应和文化适应方面的有针对性的培训 对少数种族/族裔老年人进行行为干预的可行性测试。 候选人的培训目标是： 1) 建立痴呆症、认知障碍和长期认知障碍方面的专业知识 为黑人移民老年人提供定期护理；2) 拓展发展、交付和服务方面的技能； 对黑人移民实施文化相关的行为干预措施；3) 设计 与社区居住的老年人进行可行性研究； 4) 应用先进的技术； 分析配对、纵向、测试前和测试后以及临床试验数据的统计方法； 5) 获得全面成功独立发展所需的经验 科学家（例如资助写作专业知识、增加第一作者同行评审出版物、 初级学者的指导等）。 具有这些特定目标的专门项目：1) 探索所使用的经验和护理策略 由患有痴呆症的黑人移民老年人及其非正式护理人员制定 2) 受以下机构指导。 生态有效性模型，利用从目标 1 中获得的知识来适应文化 循证主动护理：黑人移民老年人的技能赋权 (ACES) 痴呆症患者及其非正式护理人员 3) 确定该方案的可行性和可接受性。 针对患有痴呆症的黑人移民老年人及其他们的文化进行适应的 ACES 干预 候选人的指导团队在这些领域拥有丰富的专业知识和 将提供指导、咨询、实践培训、网络/合作和资源 促进候选人的职业发展 2020 年 NIA 痴呆症护理峰会差距和 机会凸显了进行研究的必要性，以探索社会影响的差异 痴呆症护理和护理的文化决定因素。 培训满足了这一研究需求，将使候选人成为一名成功的 独立科学家，在痴呆症护理和文化适应方面拥有丰富的专业知识 对居住在社区的少数族裔/族裔老年人的干预措施这是重要的一步。 改善这些人群的健康状况并消除健康不平等。