Developing a Culturally Immersive Psychoeducational Intervention for Black Immigrant Older Adults with Dementia and Their Caregivers: The Black Immigrant Project

项目摘要 黑人移民将占黑人老年人口的很大一部分 与美国出生的黑人老年人相似，他们面临着与以下因素相关的健康状况不佳的风险： 痴呆然而，很少有努力适应文化痴呆症护理和康复， 针对种族/少数民族人口的干预措施。现有的适应性还没有 系统地进行或记录，并没有把重点放在黑人移民。的 该K 01奖项的目标是获得文化适应方面的有针对性的培训， 对种族/少数民族老年人进行行为干预的可行性测试。的 候选人的培训目标是：1）建立痴呆症，认知障碍和长期的专业知识， 长期护理黑人移民老年人; 2）扩大技能的发展，交付， 对黑人移民实施文化相关的行为干预; 3）设计 并与社区居住的老年人进行可行性研究; 4）应用先进的 分析配对、纵向、试验前和试验后以及临床试验数据的统计方法;以及 5)获得必要的经验，作为一个全面成功的独立推进 科学家（例如，授予写作专长，增加第一作者同行评审的出版物， 青年学者等）。指导研究培训将在以下背景下进行： 专门的项目有这些具体目标：1）探索经验和护理策略使用 由患有痴呆症的黑人移民老年人和他们的非正式照顾者。2)为指导 生态有效性模型，使用从目标1中获得的知识， 基于证据的积极护理：黑人移民老年人的赋权技能（ACES） 痴呆症患者和他们的非正式护理人员。3)确定的可行性和可接受性， 文化适应ACES干预与黑人移民老年痴呆症和他们的 非正式护理人员。候选人的辅导团队在这些领域拥有广泛的专业知识， 将提供指导、咨询、实践培训、网络/合作和资源， 促进候选人的职业发展。2020年NIA痴呆症护理峰会的差距和 机会强调了研究的必要性，探讨社会影响的差异， 以及痴呆症护理和康复的文化决定因素。完成这项研究， 培训符合这一研究需要，并将使候选人成为一个成功的 独立科学家，在痴呆症护理和文化适应方面具有丰富的专业知识， 对居住在社区的少数种族/族裔老年人的干预措施。这是重要的一步 改善这些人群的健康状况，消除健康不平等现象。

Project Abstract Black immigrants are poised to make up a significant portion of the Black older adult population and similar to U.S. born Black older adults, are at risk of poor health outcomes related to dementia. However, few efforts have culturally adapted dementia care and caregiving interventions for racial/ethnic minority populations. Existing adaptations have not been systematically conducted or documented, and have not focused on Black immigrants. The objective of this K01 award is to acquire targeted training in the cultural adaptation and feasibility testing of behavioral interventions for racial/ethnic minority older adults. The candidate’s training goals are to: 1) Build expertise in dementia, cognitive impairment, and long- term care for Black immigrant older adults; 2) Expand skills in the development, delivery, and implementation of culturally relevant behavioral interventions for Black immigrants; 3) Design and conduct a feasibility study with community dwelling older adults; 4) Apply advanced statistical methods to analyze paired, longitudinal, pre-and post-test, and clinical trial data; and 5) Obtain the experience necessary to advance as a well-rounded successful independent scientist (e.g. grant writing expertise, increased first-author peer-reviewed publications, mentorship of junior scholars etc.). Mentored research training will occur in the context of a dedicated project with these specific aims:1) Explore the experiences and care strategies used by Black immigrant older adults with dementia and their informal caregivers. 2) Guided by the Ecological Validity Model, use the knowledge gained from Aim 1 to culturally adapt the evidenced-based Active Caregiving: Empowering Skills (ACES) for Black immigrant older adults with dementia and their informal caregivers. 3) Determine the feasibility and acceptability of the culturally adapted ACES intervention with Black immigrant older adults with dementia and their informal caregivers. The candidate’s mentoring team has extensive expertise in these areas and will offer mentoring, consultation, hands-on training, networking/collaborations and resources to facilitate the candidate’s career development. The 2020 NIA Dementia Care Summit Gaps and Opportunities highlights the need for research that explores differences in the effects of social and cultural determinants of dementia care and caregiving. Completion of this research and training meets this research need and will enable the candidate to become a successful independent scientist with substantive expertise in dementia care and cultural adaptation of interventions for racial/ethnic minority community-dwelling older adults. This is an important step towards improving health outcomes and eliminating health inequities for these populations.