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: 10218027
• 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/10218027
• 关键词: Acculturation; Address; Adherence; Alzheimer' s Disease; Alzheimer' s disease related dementia; Area; Asian Americans; Asians; Behavior Therapy; Belief; Caregiver support; Caregivers; Caring; Chinese American; Chinese People; Collaborations; Communities; 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; 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; coping; 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 population; experience; family caregiving; health disparity; health inequalities; health literacy; improved; innovation; intervention program; minority communities; multidisciplinary; negative affect; peer coaching; physical conditioning; 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/文摘