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: 10447038
• 负责人: Jinyu Liu
• 金额: $ 12.54万
• 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 2024-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10447038
• 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; Elderly; Eligibility Determination; Ensure; Ethnic group; 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; Outcome; Peer Review; Personal Satisfaction; Persons; Pilot Projects; Policies; Population; Poverty; Prevalence; Protocols documentation; Publications; Questionnaires; Randomized; Randomized Clinical Trials; 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; Stress and Coping; Surveys; Testing; Training; Training Support; Training and Education; United States; Universities; Work; acceptability and feasibility; base; 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; empowered; environmental enrichment for laboratory animals; ethnic diversity; ethnic minority; experience; family caregiving; health inequalities; health literacy; improved; innovation; intervention program; minority communities; multidisciplinary; negative affect; peer coaching; physical conditioning; pilot test; programs; racial diversity; racial minority; recruit; skills; social culture; social stigma; 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.

项目总结/摘要 鉴于美国阿尔茨海默病和相关痴呆症（ADRD）的患病率不断增加， 随着华裔美国老年人口的迅速增长，预计许多华裔美国老年人将 因为认知障碍需要重症监护很少有干预措施旨在解决 尽管以前的研究显示，美国华人的照顾者需求严重不足， 文化适应和心理健康状况不佳，这是亚裔美国人中最大的群体。较大差距 存在于发展文化敏感的干预措施，以减少中国照顾者的压力 美国社区。这个研究职业发展奖（K 01）将给刘博士的培训， 指导和必要的技能，进行干预研究，以减少老年痴呆症护理的负担， 华裔美国家庭K 01奖的建议指导研究活动包括开发 并试点测试一种文化敏感的干预措施，同伴指导计划（PMP）。通知 社会文化压力和应对模式，PMP将在体验中国人中建立人力资源 提供照顾者为同一族裔社区的新照顾者提供指导支持。K01 应用程序响应NIA研究目标E：“提高我们减少健康差距的能力， 消除老年人的健康不平等。”这也符合《国家阿尔茨海默病项目法》的规定。 努力确保接受对文化敏感的教育、培训和辅助材料; 和种族多样性的老年人的研究;并制定有效的服务，以支持种族多样性 家庭为了成为行为干预研究的独立研究者，刘博士将获得 在三个领域进行培训和指导：（a）了解ADRD、护理人员干预措施和痴呆症 （B）进行以社区为基础的参与性研究的方法技能;（c）理论 设计和进行科学严谨的干预研究的方法技能。指导了 研究培训将在一个有三个目标的重点研究项目的背景下进行：（1）研究 美国华裔ADRD患者成功康复的挑战和推动因素 （2）制定一项对文化敏感的志愿服务干预措施（PMP）， 压力和改善中国痴呆照顾者幸福感;（3）获得可行性的初步数据 和PMP的可接受性。在K 01奖结束时，刘博士将完成从 观察和解释以社区为基础的干预工作，并提交一份R 01提案， 基于研究结果的手稿在同行评审期刊上发表。强大的辅导团队， 与纽约市的社区组织建立了良好的合作关系，而且非常棒 哥伦比亚大学的学术资源将提供一个支持和丰富的环境， 使刘博士成为行为干预研究的成功和独立的研究者。