Developing a Culturally-sensitive Volunteering Program to Reduce Stress of Dementia Caregivers in Chinese American Communities

制定文化敏感的志愿服务计划，以减轻华裔美国社区痴呆症护理人员的压力

• 批准号: 10633308
• 负责人: Jinyu Liu
• 金额: --
• 依托单位: COLUMBIA UNIV NEW YORK MORNINGSIDE
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-08-01 至 2023-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10633308
• 关键词: Acculturation; Address; Adherence; Alzheimer' s Disease; Alzheimer' s disease related dementia; Area; Asian Americans; Asian population; Behavior Therapy; Belief; Caregiver support; Caregivers; Caring; Chinese; Chinese American; Collaborations; Communities; Coping Skills; Data; Dementia; Dementia caregivers; Development; Education; Elderly; Ensure; Ethnic Origin; Ethnic Population; Evaluation; Failure; Family; Family Caregiver; Family member; Goals; Health; Health Professional; Health Promotion; Human Resources; Hybrids; Impaired cognition; Intensive Care; International Migrations; Intervention; Intervention Studies; Interview; Journals; K-Series Research Career Programs; Knowledge; Manuals; Manuscripts; Measures; Mental Health; Mentored Research Scientist Development Award; Mentors; Methodology; Methods; Minority; Modeling; Monitor; New York City; Older Population; Peer Review; Personal Satisfaction; Persons; Pilot Projects; Policies; Population; Poverty; Prevalence; Protocols documentation; Publications; Questionnaires; Randomized; Randomized, Controlled Trials; Reduce health disparities; Reporting; Research; Research Activity; Research Personnel; Research Project Grants; Research Training; Resources; Services; Social isolation; Social support; Stereotyping; Stress and Coping; Surveys; Testing; Training; United States; Universities; Work; acceptability and feasibility; care outcomes; caregiver interventions; caregiving; caregiving research; caucasian American; community based participatory research; community organizations; cost effective; cultural competence; cultural values; dementia care; dementia caregiving; design; effective intervention; effectiveness testing; efficacy testing; empowerment; environmental enrichment for laboratory animals; ethnic diversity; ethnic minority; experience; family caregiving; health inequalities; health literacy; improved; innovation; intervention program; intervention refinement; minority communities; multidisciplinary; negative affect; peer coaching; physical conditioning; pilot test; programs; racial diversity; racial minority; randomized, clinical trials; recruit; screening; skills; social culture; social stigma; stress reduction; therapy development; tool; volunteer

PROJECT SUMMARY/ABSTRACT Given the increasing prevalence of Alzheimer’s disease and related dementia (ADRD) in the United States and the quickly growing population of older Chinese Americans, many older Chinese Americans are expected to need intensive care because of cognitive impairment. Few interventions have been designed to address caregiver needs among Chinese Americans, despite previous studies showing critical issues of poverty, low acculturation, and poor mental health in this population, the largest group of Asian Americans. A large gap exists in development of culturally sensitive interventions to reduce stress among caregivers in Chinese American communities. This Research Career Development Award (K01) will give Dr. Liu the training, mentoring, and skills necessary to conduct intervention research to reduce the burden of dementia care among Chinese American families. The proposed mentored research activities for this K01 award involve developing and pilot testing a culturally sensitive intervention, the Peer Mentoring Program (PMP). Informed by the sociocultural stress and coping model, the PMP will build human resources among experiential Chinese caregivers to provide mentoring support for newer caregivers in the same ethnic community. This K01 application is responsive to NIA Research Goal E: “Improve our ability to reduce health disparities and eliminate health inequities among older adults.” It is also consistent with the National Alzheimer’s Project Act’s efforts to ensure receipt of culturally sensitive education, training, and support materials; involve more racially and ethnically diverse older adults in research; and develop effective services to support ethnically diverse families. To become an independent investigator in behavioral intervention research, Dr. Liu will receive training and mentoring in three areas: (a) knowledge of ADRD, interventions for caregivers, and dementia caregiving; (b) methodological skills to conduct community-based participatory research; and (c) theoretical and methodological skills to design and conduct scientifically rigorous intervention research. Mentored research training will occur in the context of a focused research project with three aims: (1) study the challenges and enablers of successful caregiving for persons with ADRD in the Chinese American communities of New York City; (2) develop a culturally sensitive volunteering intervention (PMP) to reduce stress and improve well-being of Chinese dementia caregivers; and (3) obtain preliminary data on feasibility and acceptability of the PMP. By the end of the K01 award, Dr. Liu will complete the transition from observational and explanatory to community-based intervention work and submit an R01 proposal and several manuscripts based on the study results for publication in peer-reviewed journals. The strong mentoring team, well-established collaborative relationships with community organizations in New York City, and marvelous academic resources at Columbia University will provide a supportive and enriching environment that will empower Dr. Liu to become a successful and independent investigator in behavioral intervention research.

项目摘要/摘要 考虑到美国阿尔茨海默氏病和相关痴呆（ADRD）的患病率不断增加 年龄较大的美国人的人口迅速增长，预计许多年长的美国人将 由于认知障碍，需要重症监护。很少有人设计干预措施来解决 中国美国人的护理人员需求，杜斯皮特先前的研究表明贫困的关键问题，低 在这个人群中，适应性和精神健康不良，是亚裔美国人最大的群体。一个很大的差距 存在于对文化敏感的干预措施的发展中，以减轻中国人的压力 美国社区。该研究职业发展奖（K01）将为刘博士接受培训， 指导和进行干预研究所需的技能，以减少痴呆症护理的燃烧 美国人家庭。该K01奖的拟议研究活动涉及开发 以及对文化敏感干预措施的试验，同伴指导计划（PMP）。被告知 社会文化压力和应对模型，PMP将在经验丰富的中文中建立人力资源 护理人员为同一族裔社区中的新护理人员提供心理支持。这个K01 应用对NIA研究目标敏感E：“提高我们减少健康差异和 消除老年人的健康不平等。 努力确保接受文化敏感的教育，培训和支持材料；涉及更多种族 以及种族化的老年人在研究领域；并开发有效的服务以支持种族多样化 家庭。为了成为行为干预研究的独立研究者，刘博士将收到 在三个领域的培训和心理：（a）ADRD知识，护理人员的干预措施和痴呆症 照料； （b）进行基于社区参与研究的方法论技巧； （c）理论 以及设计和进行科学严格干预研究的方法论技巧。指导 研究培训将在一个重点研究项目的背景下进行三个目标：（1）研究 在美国美国人的ADRD人士成功照顾的挑战和推动者 纽约市社区； （2）开发具有文化敏感的志愿干预（PMP）以减少 压力和改善中国痴呆症护理人员的幸福感； （3）获得有关可行性的初步数据 和PMP的可接受性。到K01奖的结束时，刘博士将完成从 对基于社区的干预工作的观察和剥夺，并提交R01建议和几个 基于研究结果的手稿在同行评审期刊上发表。强大的心理团队， 与纽约市的社区组织建立了良好的合作关系， 哥伦比亚大学的学术资源将提供一个支持和丰富的环境 授权刘博士成为行为干预研究中成功且独立的研究者。