Developing a Culturally-sensitive Volunteering Program to Reduce Stress of Dementia Caregivers in Chinese American Communities

项目摘要/摘要 鉴于阿尔茨海默病和相关痴呆症(ADRD)在美国和 随着老年华裔美国人人口的快速增长，预计许多老年华裔美国人将 由于认知障碍，需要重症监护。很少有干预措施被设计来解决 华裔美国人对照顾者的需求，尽管之前的研究显示贫困的关键问题很低 在这一群体中，亚裔美国人是最大的群体，他们的文化适应和心理健康状况很差。巨大的差距 存在于开发文化敏感的干预措施以减轻中国照顾者的压力 美国社区。这一研究职业发展奖(K01)将给刘博士提供培训， 指导，以及进行干预研究以减轻痴呆症护理负担所需的技能 华裔美国家庭。建议的K01奖导师研究活动包括开发 并试点测试一种文化敏感的干预措施--同伴指导计划(PMP)。由 社会文化压力和应对模式，PMP将在有经验的中国人中建立人力资源 照顾者为同一种族社区的新照顾者提供指导支持。这个K01 应用程序响应了NIA研究目标E：“提高我们减少健康差距和 消除老年人中的健康不平等现象。这也符合国家阿尔茨海默氏症项目法 努力确保收到对文化敏感的教育、培训和支持材料；更多地涉及种族问题 和种族多元化的老年人进行研究；开发有效的服务，支持种族多元化 家人。要成为行为干预研究的独立研究员，刘博士将获得 三个领域的培训和指导：(A)对ADRD的了解、对照顾者的干预和痴呆症 照料；(B)进行社区参与性研究的方法技能；和(C)理论 以及设计和进行科学严谨的干预研究的方法技能。受指导的 研究性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 美籍华裔ADRD患者成功照护面临的挑战和推动因素 纽约市社区；(2)发展对文化敏感的志愿服务干预(PMP)，以减少 重视和改善中国痴呆症照顾者的幸福感；以及(3)获得可行性的初步数据 以及PMP的可接受性。到K01奖项结束时，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R01提案和几个 基于研究结果的手稿，发表在同行评议的期刊上。强大的指导团队， 与纽约市的社区组织建立了良好的合作关系，并出色地 哥伦比亚大学的学术资源将提供一个支持和丰富的环境，将 让刘博士在行为干预研究中成为一名成功的独立研究员。

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.