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

老派嘻哈：一项提高痴呆症知识的随机对照试验

• 批准号: 9218495
• 负责人: James McCallum Noble
• 金额: $ 80.74万
• 依托单位: COLUMBIA UNIVERSITY HEALTH SCIENCES
• 依托单位国家: 美国
• 财政年份: 2017
• 资助国家: 美国
• 起止时间: 2017-09-30 至 2022-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9218495
• 关键词: Address; Adult; African American; Age; Aging; Alzheimer' s Disease; Alzheimer' s disease risk; Awareness; Belief; Caregivers; Cartoons; Child; Cognitive aging; Communication; Communities; Community Mental Health Centers; Complex; Data; Dementia; Diagnosis; Disadvantaged; Disease; Early Diagnosis; Economically Deprived Population; Education; Educational Intervention; Effectiveness; Elderly; Event; Generations; Goals; Health; Health Communication; Health Services Accessibility; Hip region structure; Home environment; Impaired cognition; Individual; Intervention; Knowledge; Learning; Life; Life Expectancy; Literacy Programs; Longevity; Low Income Population; Low income; Measures; Mediating; Medical; Methods; Minority; Minority Groups; Modeling; Multimedia; New York City; Outcome; Parents; Patients; Pattern; Perception; Physicians; Pilot Projects; Play; Population; Procedures; Program Effectiveness; Publishing; Quality of life; Randomized; Randomized Controlled Trials; Refractory; Reporting; Risk; Role; Schools; Self Efficacy; Signs and Symptoms; Socioeconomic Status; Stroke; Students; Symptoms; Taboo; Testing; Time; Validity and Reliability; Work; Youth; arm; attentional control; base; behavior change; behavioral response; care seeking; control trial; design; disease diagnosis; economic need; elementary school; experience; fifth grade; fourth grade; grandparent; health disparity; health literacy; improved; indexing; innovation; intergenerational; lifestyle intervention; literacy; literate; minority children; minority communities; multimodality; normal aging; novel; parent-child communication; post intervention; programs; research clinical testing; response; skills; success; therapy design; tool

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.

目的：本提案的目的是评估一种新的文化- 量身定制的痴呆症教育干预措施，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） 和B）让这些痴呆症识字的孩子教他们的父母， 还有祖父母 背景：痴呆症在老年人中很常见，随着年龄的增长而变得更加普遍， 是医学上难治的，缩短预期寿命，降低患者的生活质量， 他们的照顾者。痴呆症诊断的文化障碍是存在的，并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， 接受痴呆症并减少早期诊断的障碍。新出现的证据表明 早期认知障碍可能具有可改变或可预防的成分， 医学和生活方式干预可能会延迟或减少认知能力下降，特别是当 在病程早期分娩。健康素养，包括对认知老化的看法 以及对可能改变的决定因素的认识，可能是减少 痴呆症的健康差异。专注于痴呆症的青年教育计划可能会增加 提高社区对痴呆症的认识，提高痴呆症父母和祖父母的AD素养- 识字的儿童，改变对广告的文化观念，以提高其接受程度，并减少障碍 早期诊断。这种方法可以独特地吸引少数群体， 参与并处于AD的最大风险。 方法：干预。“老学校嘻哈”（老年人可以有最佳老化， 持续长寿）是一个经过验证的模型，使用简短的多媒体文化定制干预 旨在教导少数民族儿童痴呆症的关键体征和症状，以及在 痴呆症是公认的，这是由医生进行的早期临床评估。20所学校（ 总共3000名学生）将被随机分配到OSHH干预组或 注意力控制该计划将测试的假设，该计划将导致显着 父母痴呆知识知晓率提高及其受子女影响 知识、父母与子女就该主题进行沟通的程度以及社会经济地位。 该计划还旨在创建一个新颖的，简短的“痴呆症行动测试”，以实现一个 有效评估痴呆症识别和行为反应的关键缺失工具。