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.

项目概要/摘要：项目 3 (PERALES-PUCHALT) 痴呆症患者 (IWD) 的拉丁裔护理人员承受着不成比例的压力、抑郁、护理人员获得社区资源的机会不足，护理人员支持干预措施可能会减少护理人员的数量。通过提供有关痴呆症、护理、可用社区资源和不幸的是，大多数初级保健诊所很少为他们的护理人员提供支持。许多初级保健诊所正在使用社区卫生工作者 (CHW) 来治疗痴呆症患者。提供适合文化的健康教育以及与社区资源的联系，但据我们所知尚未专门参与为 IWD 的护理人员提供支持这是一个独特的机会。让社区卫生工作者参与在拉丁裔初级保健中实施护理人员支持干预措施的努力。该项目的总体目标是为制定一项实施战略提供信息，其中社区卫生工作者递送Unidos Podemos！在初级保健中的拉丁美洲人。 Unidos Podemos! 是一个根据文化量身定制的证据- 我们提出了一项利用社区卫生工作者的实施战略。已经在初级保健领域工作，并为他们提供所需的培训、资源和持续支持实施Unidos Podemos!. 在目标 1 中，我们将找出实施的障碍和促进因素 ¡ Unidos Podemos！由拉丁裔社区卫生工作者在初级保健中进行。我们将测试社区卫生工作者的可行性。 ¡实施支持策略Unidos Podemos！是两家初级保健诊所的拉丁裔护理人员。