A Culturally-Relevant Approach to Reducing Dementia Caregiver Stress in an Underserved Population

减少服务不足人群中痴呆症护理人员压力的文化相关方法

基本信息

批准号：
9089445
负责人：
OANH L MEYER
金额：
$ 12.89万
依托单位：
UNIVERSITY OF CALIFORNIA AT DAVIS
依托单位国家：
美国
项目类别：
财政年份：
2016
资助国家：
美国
起止时间：
2016-09-01 至 2020-05-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9089445
关键词：
Acculturation Address Affect Aging Alzheimer&apos s Disease American Area Asian Americans Asians Award Behavior Belief Caregiver Burden Caregivers Caring Center for Translational Science Activities Clinical Sciences Communities Community Outreach Complement Cultural Diversity Data Data Analyses Data Collection Dementia Dementia caregivers Development Diagnosis Distress Effectiveness of Interventions Elderly Employee Strikes Environment Ethnic group Exercise Family Family Caregiver Family member Feedback Focus Groups Foundations Funding Goals Health Immigrant Impaired cognition Individual Intervention Intervention Studies Knowledge Language Lead Managed Care Mental Health Mentored Research Scientist Development Award Mentors Mentorship Methods Minority Modeling Nature Outcome Personal Satisfaction Persons Play Population Population Heterogeneity Psychological Theory Psychologist Public Health Randomized Controlled Trials Recruitment Activity Research Research Activity Research Personnel Research Project Grants Research Training Resources Risk Risk Factors Role Self Efficacy Services Stress Stress and Coping Study Section Subgroup Tai Ji Testing Training Translating Trauma Underserved Population United States National Institutes of Health Vietnam War Work base care recipients career career development caregiver interventions caregiving community based participatory research coping dementia caregiving design disparity reduction ethnic diversity ethnic minority population evidence base experience group intervention health care service utilization health disparity improved innovation intergenerational literacy multi-component intervention novel physical conditioning primary caregiver psychosocial psychosocial development public health relevance racial and ethnic research and development skills skills training social theories therapy development

项目摘要

DESCRIPTION (provided by applicant): Asian Americans currently are the fastest growing ethnic group in the U.S., thus, the number of Asian Americans with Alzheimer's disease (AD) and their family caregivers will also increase. Surprisingly, very little intervention work has focused on addressing caregiver needs in this population. Specifically, a large gap exists in the development of interventions to reduce caregiver stress and little is known about how cultural diversity impacts caregiver stress and intervention outcomes. This Mentored Research Scientist Development Award (K01) will give Dr. Meyer the skills, training, and mentoring necessary to conduct community-engaged interventions to reduce the burden of AD in culturally diverse family caregivers. The proposed mentored research activities for this K01 award are to refine and pilot test a theoretically-informed, culturally-relevant, community-based intervention informed by sociocultural stress and coping and social contextual models to reduce distress and enhance well-being in Vietnamese American dementia caregivers. By focusing on this large and underserved population, this K01 application is consistent with NIA Research Goal E: Improve our ability to reduce health disparities and eliminate health inequities among older adults. It als responds to the National Alzheimer's Project Act (NAPA) to involve more racially/ethnically diverse older adults in research and to develop effective services to support ethnically diverse families. This application includes experiential and research activities in three critical areas fo Dr. Meyer's career development: (1) knowledge of AD and associated dementias (e.g., risk factors, assessment and diagnosis, course) and cognitive impairment and how they affect families, (2) methodological skills and cultural knowledge to conduct community-engaged intervention research, including formal training in aspects of community-based participatory research (e.g. mixed methods) and enhanced knowledge of Vietnamese culture and language, and (3) theoretical and methodological skills necessary to design, implement, and analyze scientifically rigorous interventions for culturally diverse populations (e.g., design issues, longitudinal data analysis). Mentored research training will occur in the context of a focused research project with two aims: (1) Refine and manualize a culturally- informed intervention to reduce distress and enhance well-being in Vietnamese dementia caregivers, and (2) Examine the feasibility and acceptability of the pilot intervention in a randomized controlled trial. Completion of the proposed research and career development activities will generate data to inform the development of an R34 or R21 application and provide Dr. Meyer with the experience necessary to transition from observational/ descriptive to community-based intervention work. Dr. Meyer will leverage existing resources and expertise at three NIH-funded centers at UC Davis: the Alzheimer's disease Center, the Resource Center for Minority Aging Research, and the Clinical and Translational Science Center. These resources, along with the mentoring team's strong, collaborative relationships with local community-based organizations will provide an enriched environment that will help Dr. Meyer to be a successful and independent investigator.

描述（由申请人提供）：目前，美国的美国疾病（AD）和家庭护理人员也将增加，这很少有干预工作的重点是解决该人群中的护理人员的需求。压力和国际成果。并试点测试一种理论上有信息的，具有文化的基于社区的干预措施，该干预措施是由社会文化压力和社会背景模型所启示的，以减少痛苦和增强良好的美国痴呆症护理人员。 E：提高我们在APA中的危险的能力。 TIA（例如，风险因素，评估和诊断，课程）和认知障碍及其如何影响家庭，（2）方法论技能和文化知识以进行社区参与，干预研究，包括对基于社区patory Patory研究方面的正式培训（例如，混合方法）并增强了对越南文化和语言的了解，以设计，实施和分析对文化多样性人群的科学严格干预措施（例如，研究培训将在两个AMS的集中研究项目中进行：（1）改进：（1）并在文化上进行手动降低越南痴呆症护理人员的苦难并增强了福祉，（2）在随机对照试验中检查飞行员的味道，对拟议的研究和职业发展活动的压缩将产生R34的DataTelm。或R21的应用，并为迈耶博士提供从观察/描述性到基于社区的Intervintion的经验少数族裔的研究以及临床和转化科学中心。