Developing a Culturally Immersive Psychoeducational Intervention for Black Immigrant Older Adults with Dementia and Their Caregivers: The Black Immigrant Project

为患有痴呆症的黑人移民老年人及其照顾者制定文化沉浸式心理教育干预措施：黑人移民项目

• 批准号: 10681260
• 负责人: Manka Nkimbeng
• 金额: $ 13.2万
• 依托单位: UNIVERSITY OF MINNESOTA
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-08-15 至 2027-04-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10681260
• 关键词: Address; African; African Caribbean; Alzheimer' s disease caregiver; Alzheimer' s disease related dementia; Alzheimer' s disease risk; American; Area; Behavior Therapy; Behavioral; Belief; Black race; Caregivers; Caring; Clinical Trials; Collaborations; Communities; Consultations; Country; Data; Data Analyses; Day Care; Dedications; Dementia; Dementia caregivers; Development; Diagnosis; Discrimination; Disparity; Disparity population; Distress; Education; Education Projects; Educational Intervention; Elderly; Evidence based intervention; Family; Feasibility Studies; Friends; Goals; Grant; Health; Health Services Accessibility; Home Care Services; Hour; Immigrant; Immigrant community; Immigrant family; Immigration; Impaired cognition; Intervention; Interview; Knowledge; Language; Long-Term Care; Managed Care; Memory Loss; Mentored Research Scientist Development Award; Mentors; Mentorship; Methods; Minority; Modeling; Outcome; Participant; Peer Review; Perception; Persons; Population; Publications; Quality of life; Research; Research Training; Resources; Risk; Sampling; Scientist; Services; Statistical Methods; Subgroup; Testing; Training; United States; United States National Institutes of Health; Writing; acceptability and feasibility; career; career development; caregiver education; caregiver stress; caregiving; community engagement; cultural values; dementia care; dementia caregiving; design; effective intervention; efficacy testing; empowerment; ethnic minority; ethnic minority population; evidence base; experience; feasibility testing; health care availability; health disparity; health inequalities; improved; informal caregiver; minority communities; poor health outcome; programs; psychoeducational intervention; racial minority; racial minority population; skills; social; social factors; social stigma; stress management; symposium; therapy development

Project Abstract Black immigrants are poised to make up a significant portion of the Black older adult population and similar to U.S. born Black older adults, are at risk of poor health outcomes related to dementia. However, few efforts have culturally adapted dementia care and caregiving interventions for racial/ethnic minority populations. Existing adaptations have not been systematically conducted or documented, and have not focused on Black immigrants. The objective of this K01 award is to acquire targeted training in the cultural adaptation and feasibility testing of behavioral interventions for racial/ethnic minority older adults. The candidate’s training goals are to: 1) Build expertise in dementia, cognitive impairment, and long- term care for Black immigrant older adults; 2) Expand skills in the development, delivery, and implementation of culturally relevant behavioral interventions for Black immigrants; 3) Design and conduct a feasibility study with community dwelling older adults; 4) Apply advanced statistical methods to analyze paired, longitudinal, pre-and post-test, and clinical trial data; and 5) Obtain the experience necessary to advance as a well-rounded successful independent scientist (e.g. grant writing expertise, increased first-author peer-reviewed publications, mentorship of junior scholars etc.). Mentored research training will occur in the context of a dedicated project with these specific aims:1) Explore the experiences and care strategies used by Black immigrant older adults with dementia and their informal caregivers. 2) Guided by the Ecological Validity Model, use the knowledge gained from Aim 1 to culturally adapt the evidenced-based Active Caregiving: Empowering Skills (ACES) for Black immigrant older adults with dementia and their informal caregivers. 3) Determine the feasibility and acceptability of the culturally adapted ACES intervention with Black immigrant older adults with dementia and their informal caregivers. The candidate’s mentoring team has extensive expertise in these areas and will offer mentoring, consultation, hands-on training, networking/collaborations and resources to facilitate the candidate’s career development. The 2020 NIA Dementia Care Summit Gaps and Opportunities highlights the need for research that explores differences in the effects of social and cultural determinants of dementia care and caregiving. Completion of this research and training meets this research need and will enable the candidate to become a successful independent scientist with substantive expertise in dementia care and cultural adaptation of interventions for racial/ethnic minority community-dwelling older adults. This is an important step towards improving health outcomes and eliminating health inequities for these populations.

项目摘要 黑人移民被毒死以构成黑人老年人的很大一部分 与美国出生的黑人老年人类似，面临与健康结果不佳的风险 失智。但是，很少有努力在文化上适应痴呆症护理和照料 种族/族裔少数民族的干预措施。现有的改编还没有 系统地进行或记录，并且没有专注于黑人移民。这 该K01奖的目的是获得针对文化适应和的目标培训 种族/族裔少数民族老年人行为干预措施的可行性测试。这 候选人的培训目标是：1）在痴呆症，认知障碍和长期内建立专业知识 黑人移民老年人的期限； 2）扩大开发，交付和 针对黑人移民实施与文化相关的行为干预措施； 3）设计 并与社区居住的老年人进行可行性研究； 4）应用高级 分析配对，纵向，测试前和临床试验数据的统计方法；和 5）获得作为全面成功独立的经验所必需的经验 科学家（例如，授予写作专业知识，提高了由同行评审的出版物， 初级学者等的指导）。指导的研究培训将发生在 具有这些特定目的的专门项目：1）探索所使用的经验和护理策略 由黑人移民老年人患有痴呆症及其非正式护理人员。 2）由 生态有效性模型，利用从目标1获得的知识在文化上适应 基于证据的主动护理：黑人移民老年人的授权技巧（ACE） 与痴呆症及其非正式护理人员在一起。 3）确定该的可行性和可接受性 与黑人移民老年人患有痴呆症及其的文化适应ACES干预 非正式护理人员。候选人的心理团队在这些领域拥有广泛的专业知识， 将提供心理，咨询，动手培训，网络/协作和资源 促进候选人的职业发展。 2020年NIA痴呆症护理峰会差距和 机会强调了探索社会影响差异的研究需求 以及痴呆症护理和照料的文化决定者。完成这项研究和 培训满足了这项研究的需求，并将使候选人成为成功 独立科学家具有痴呆症护理和文化适应方面的实质性专业知识 种族/族裔少数民族社区老年人的干预措施。这是一个重要的步骤 为了改善健康状况并消除这些人群的健康不平等。