Old SCHOOL Hip Hop: A randomized controlled trial to improve dementia knowledge

老派嘻哈：一项提高痴呆症知识的随机对照试验

• 批准号: 9218495
• 负责人: James McCallum Noble
• 金额: $ 80.74万
• 依托单位: COLUMBIA UNIVERSITY HEALTH SCIENCES
• 依托单位国家: 美国
• 财政年份: 2017
• 资助国家: 美国
• 起止时间: 2017-09-30 至 2022-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9218495
• 关键词: Address; Adult; African American; Age; Aging; Alzheimer' s Disease; Alzheimer' s disease risk; Awareness; Belief; Caregivers; Cartoons; Child; Cognitive aging; Communication; Communities; Community Mental Health Centers; Complex; Data; Dementia; Diagnosis; Disadvantaged; Disease; Early Diagnosis; Economically Deprived Population; Education; Educational Intervention; Effectiveness; Elderly; Event; Generations; Goals; Health; Health Communication; Health Services Accessibility; Hip region structure; Home environment; Impaired cognition; Individual; Intervention; Knowledge; Learning; Life; Life Expectancy; Literacy Programs; Longevity; Low Income Population; Low income; Measures; Mediating; Medical; Methods; Minority; Minority Groups; Modeling; Multimedia; New York City; Outcome; Parents; Patients; Pattern; Perception; Physicians; Pilot Projects; Play; Population; Procedures; Program Effectiveness; Publishing; Quality of life; Randomized; Randomized Controlled Trials; Refractory; Reporting; Risk; Role; Schools; Self Efficacy; Signs and Symptoms; Socioeconomic Status; Stroke; Students; Symptoms; Taboo; Testing; Time; Validity and Reliability; Work; Youth; arm; attentional control; base; behavior change; behavioral response; care seeking; control trial; design; disease diagnosis; economic need; elementary school; experience; fifth grade; fourth grade; grandparent; health disparity; health literacy; improved; indexing; innovation; intergenerational; lifestyle intervention; literacy; literate; minority children; minority communities; multimodality; normal aging; novel; parent-child communication; post intervention; programs; research clinical testing; response; skills; success; therapy design; tool

Objectives: The goals of this proposal are to evaluate the effectiveness of a novel culturally- tailored dementia education intervention to a) teach young children to recognize dementia symptoms and demonstrate an appropriate action plan (which we have termed dementia literacy) and b) have these dementia literate children teach and improve dementia literacy their parents and grandparents. Background: Dementia is common among elderly individuals, becomes more prevalent with age, is medically refractory, reduces life expectancy, and diminishes quality of life for patients and their caregivers. Cultural barriers to dementia diagnosis exist and are potentially modifiable. Interventions that target younger generations may shift cultural perceptions and improve acceptance of dementia and reduce barriers to early diagnosis. Emerging evidence suggests that early cognitive impairment may have modifiable or preventable components and a combination of medical and lifestyle interventions may delay or reduce cognitive decline, particularly when delivered early in the course of disease. Health literacy, including perceptions of cognitive aging and awareness of possible modifiable determinants, could be unrealized barriers to diminishing the health disparity of dementia. Youth education programs focused on dementia could increase community dementia awareness, improve AD literacy of parents and grandparents of dementia- literate children, shift cultural perceptions of AD to improve its acceptance, and reduce barriers to early diagnosis. Such an approach could uniquely engage minority populations who are least engaged and at greatest risk for AD. Methods: The Intervention. “Old SCHOOL Hip Hop” (Seniors Can Have Optimal aging and Ongoing Longevity) is a validated model using a brief multimedia culturally tailored intervention designed to teach minority children key dementia signs and symptoms, and actions taken when dementia is recognized, which is early clinical evaluation by a physician. Twenty schools (with 3000 total students) will be randomly assigned to either the OSHH intervention arm or attentional control. This program will test the hypotheses that the program will lead to significant improvement of dementia knowledge in parents, and that gains are influenced by child knowledge, the degree of child-parent communication about the topic, and socioeconomic status. The program is additionally designed to create a novel, brief “dementia action test” to fulfill a critical missing tool for efficiently assessing dementia recognition and behavioral response.

目的：评估新颖Clitorly的有效性的目标 - 量身定制的痴呆症教育意见a）教幼儿识别痴呆症 症状并展示适当的行动计划（我们称之为痴呆素养） b）让痴呆素养的孩子教和改善父母的痴呆素养素养 和祖父母。 背景：痴呆在老年人中很常见，随着年龄的增长而变得更加普遍， 在医学上难治性，降低了预期寿命，并降低了患者的生活质量 他们的护理人员存在痴呆症的文化障碍，并可能改变。 针对年轻一代的间隔迹象可能会改变文化渗透率并改善 接受痴呆并减少早期诊断的障碍。 早期认知障碍可能具有可修改或可预防的组件和组合 医疗和生活方式干预措施可能会减少认知能力下降，尤其是 在疾病的早期进行。 并意识到可能的可修改决定因素，可能是未实现的障碍 痴呆症的健康差异。 社区痴呆症的恶心，提高痴呆症父母父母的父母的识字素养 - 识字儿童，将广告的文化看法转移到接受的情况下，并减少障碍 早期诊断。 参与广告的风险和最大风险。 方法：干预。 持续的寿命）是一种经过验证的模型，使用简短的多媒体文化量身定制的干预措施 旨在教少数族裔儿童关键的痴呆症体征和症状，以及 痴呆症被认可，这是一名医生的早期临床评估。 总计3000名学生）将随机分配给OSHH干预部门或 Attental Control。 父母痴呆知识的提高，收益受孩子的影响 知识，关于该主题的儿童沟通程度以及社会经济地位。 该程序还旨在创建小说，简短的“痴呆症动作测试”，以实现 有效评估痴呆症识别和行为反应的严重缺失工具。