Old SCHOOL Hip Hop: A randomized controlled trial to improve dementia knowledge

目标：这项提案的目标是评估一种新的文化- 量身定制的痴呆症教育干预措施，以a)教幼儿认识痴呆症 症状并展示适当的行动计划(我们称之为痴呆症扫盲) 以及b)让这些痴呆症儿童教育和提高他们的父母痴呆症识字能力 还有祖父母。 背景：痴呆症在老年人中很常见，随着年龄的增长变得更加普遍， 在医学上是难治性的，降低了患者的预期寿命和生活质量 他们的照顾者。诊断痴呆症的文化障碍是存在的，而且可能是可以改变的。 针对年轻一代的干预措施可能会改变文化观念并改善 接受痴呆症，减少早期诊断的障碍。新出现的证据表明 早期认知障碍可能有可改变或可预防的组成部分和组合 医疗和生活方式干预可能会延缓或减少认知能力下降，特别是当 在病程早期出生的。健康素养，包括对认知老化的看法 以及对可能的可改变决定因素的认识，可能是减少的未实现障碍 痴呆症的健康差距。关注痴呆症的青年教育项目可能会增加 社区痴呆症认知，提高痴呆症父母和祖父母的AD素养- 让孩子识字，改变人们对AD的文化看法，提高其接受度，减少障碍 为早期诊断干杯。这种方法可以独一无二地吸引最贫穷的少数群体 参与其中，并面临最大的AD风险。 方法：干预法。《老派嘻哈》(老年人可以有最佳的衰老和 持续长寿)是一种经过验证的模型，使用简短的多媒体文化定制干预 旨在教导少数族裔儿童痴呆症的关键体征和症状，以及在以下情况下采取的行动 痴呆被识别，这是由医生进行的早期临床评估。20所学校(包括 总计3000名学生)将被随机分配到OSHH干预部门或 注意力控制。该计划将检验该计划将导致显著 父母痴呆症知识水平的提高及其受子女影响的研究 知识，孩子与父母关于这个话题的沟通程度，以及社会经济地位。 该计划还设计了一个新的，简短的“痴呆症行动测试”，以满足 有效评估痴呆症识别和行为反应的关键缺失工具。

Objectives: The goals of this proposal are to evaluate the effectiveness of a novel culturally- tailored dementia education intervention to a) teach young children to recognize dementia symptoms and demonstrate an appropriate action plan (which we have termed dementia literacy) and b) have these dementia literate children teach and improve dementia literacy their parents and grandparents. Background: Dementia is common among elderly individuals, becomes more prevalent with age, is medically refractory, reduces life expectancy, and diminishes quality of life for patients and their caregivers. Cultural barriers to dementia diagnosis exist and are potentially modifiable. Interventions that target younger generations may shift cultural perceptions and improve acceptance of dementia and reduce barriers to early diagnosis. Emerging evidence suggests that early cognitive impairment may have modifiable or preventable components and a combination of medical and lifestyle interventions may delay or reduce cognitive decline, particularly when delivered early in the course of disease. Health literacy, including perceptions of cognitive aging and awareness of possible modifiable determinants, could be unrealized barriers to diminishing the health disparity of dementia. Youth education programs focused on dementia could increase community dementia awareness, improve AD literacy of parents and grandparents of dementia- literate children, shift cultural perceptions of AD to improve its acceptance, and reduce barriers to early diagnosis. Such an approach could uniquely engage minority populations who are least engaged and at greatest risk for AD. Methods: The Intervention. “Old SCHOOL Hip Hop” (Seniors Can Have Optimal aging and Ongoing Longevity) is a validated model using a brief multimedia culturally tailored intervention designed to teach minority children key dementia signs and symptoms, and actions taken when dementia is recognized, which is early clinical evaluation by a physician. Twenty schools (with 3000 total students) will be randomly assigned to either the OSHH intervention arm or attentional control. This program will test the hypotheses that the program will lead to significant improvement of dementia knowledge in parents, and that gains are influenced by child knowledge, the degree of child-parent communication about the topic, and socioeconomic status. The program is additionally designed to create a novel, brief “dementia action test” to fulfill a critical missing tool for efficiently assessing dementia recognition and behavioral response.