BrainWorks: A Comparative Effectiveness Trial to Examine Alzheimer's Disease Education for Community-Dwelling African Americans
BrainWorks: A Comparative Effectiveness Trial to Examine Alzheimer's Disease Education for Community-Dwelling African Americans
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DOI：
10.1016/j.jagp.2018.09.010
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发表时间：
2019-01-01
影响因子：
7.2
通讯作者：
Gaines, Bryan F.
中科院分区：
文献类型：
--
作者：
Lincoln, Karen D.;Chow, Tiffany W.;Gaines, Bryan F.
目的：测试一种针对文化定制的干预措施，以提高非裔美国人对阿尔茨海默病(AD)的识字能力。设计：三臂随机对照有效性试验。环境：加利福尼亚州洛杉矶的社区网站。参与者：193名非裔美国人社区居民，年龄在45岁到95岁之间。干预：所有小组都参加了BrainWorks Live，这是一个根据文化定制的60分钟脱口秀节目，并收到了关于AD的标准印刷教育材料。从那时起：a)BrainWorks Live组在后测试之前没有收到进一步的联系；b)一个干预组收到了一个为期1个月的、根据文化定制的、单向的每日短信程序；以及c)第二个干预组每天收到基于普通公众将收到的印刷教育材料的短信。在基线和干预后1个月测量AD素养。衡量标准：阿尔茨海默病识字率、人口统计学和健康协变量。结果：在一个月内，收到文化定制短信的参与者在AD识字水平上的增幅最高，其次是BrainWorks Live ARM的参与者。与其他参与者相比，收到普通短信的参与者在AD读写水平上的总体增幅较低，但平均AD读写水平高于BrainWorks Live ARM。与只参加BrainWorks Live的参与者相比，收到文化定制短信的参与者的AD读写水平显著提高。两组之间没有其他统计上的显著差异。结论：非洲裔美国人的广告读写能力只需一个月就可以通过文化上有竞争力的、经济上可行的教育模式来提高。
Objectives: To test a culturally tailored intervention to improve Alzheimer's disease (AD) literacy among African Americans. Design: A 3-arm randomized comparative effectiveness trial. Setting: Community sites in Los Angeles, CA. Participants: 193 African American community-dwelling adults, ages 45 to 95 years old. Intervention: All groups attended BrainWorks Live, a culturally tailored, 60-minute talk show and received standard printed educational materials on AD. From there: a) the BrainWorks Live group received no further contact until the post-test; b) one intervention group received a 1-month, culturally tailored, uni-directional, daily text-message program; and c) a second intervention group received daily text messages based on the printed educational materials that the general public would receive. AD literacy was measured at baseline and one month post intervention. Measurements: Alzheimer's disease literacy and demographic and health covariates. Results: At one month, participants who received culturally tailored text messages had the highest increase in AD literacy levels, followed by those in the BrainWorks Live arm. Participants who received general text messages had a lower overall increase in AD literacy levels compared to the other arms, but had higher mean AD literacy levels than the BrainWorks Live arm. There was a significantly greater increase in AD literacy levels among participants who received culturally tailored text messages compared with those who attended BrainWorks Live only. There were no other statistically significant differences between arms. Conclusions: AD literacy among African Americans can be improved after only one month through culturally competent, economically feasible educational formats.