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 与在美国出生的黑人老年人类似，他们面临着与以下方面相关的不良健康后果的风险 痴呆症。然而，很少有努力在文化上适应痴呆症的护理和护理 针对种族/少数民族人口的干预措施。现有的改编还没有 有系统地进行或记录，并且没有侧重于黑人移民。这个 该K01奖项的目标是获得有针对性的文化适应培训和 对种族/少数民族老年人进行行为干预的可行性测试。这个 应聘者的培训目标是：1)建立痴呆症、认知障碍和长期痴呆方面的专业知识 为黑人移民老年人提供长期护理；2)扩展发展、交付和 对黑人移民实施与文化相关的行为干预；3)设计 并与社区居住老年人进行可行性研究；4)应用先进 统计方法分析配对的、纵向的、试验前和试验后的以及临床试验数据； 5)获得必要的经验，成为一个全面、成功的独立人士 科学家(例如，授予写作专长，增加第一作者同行评议的出版物， 初级学者的辅导等)。指导研究培训将在以下背景下进行 具有以下具体目标的专门项目：1)探索所使用的经验和护理策略 由患有痴呆症的黑人移民老年人和他们的非正式照顾者提供。2)由 生态有效性模型，使用从目标1获得的知识来在文化上适应 基于证据的积极护理：黑人移民老年人的赋权技能(ACE) 痴呆症患者和他们的非正式照顾者。3)确定该方案的可行性和可接受性 黑人移民老年痴呆患者的文化适应ACES干预 非正式的照顾者。候选人的指导团队在这些领域拥有广泛的专业知识和 将提供指导、咨询、实践培训、网络/协作和资源，以 促进应聘者的职业发展。2020年NIA痴呆症护理峰会差距和 机会突显了对探索社会影响差异的研究的必要性 以及痴呆症护理和护理的文化决定因素。完成这项研究，并 培训符合这一研究需求，并将使应聘者成为一名成功的 在痴呆症护理和文化适应方面具有实质性专业知识的独立科学家 针对居住在少数族裔社区的老年人的干预措施。这是重要的一步 改善这些人口的健康结果和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.