Intervention to Help Orient Men to Excel (IN-HOME): A culturally appropriate CHW training program to reduce minority caregiver burden

KDH研究与传播（KDHRC）建议制定和评估干预措施， “帮助东方男子走向卓越”（家庭内），将培训社区卫生工作者， 支持非裔美国人和拉丁美洲男性照顾老年人。在家培训的社区卫生工作者 将与护理人员进行外联，这些护理人员将获得保护自己的知识和技能， 健康和优化结果为老年人反过来。 照顾在不同种族和民族的人群中比在白色人群中更常见 人口。虽然文化基础可能会使服务更加普遍， 然而，照顾者可能会产生负面影响， 情绪、心理和身体健康结果。尽管数量数以百万计， 目前的支助资源通常忽视少数群体的照顾者。 CHW的理想定位是教育和支持不同的照顾者，由于深刻的 与他们的社区建立了联系，并且CHW外展服务的有效性已得到证实， 积极的行为改变，包括向男性提供改变健康的信息和技能， 发展因此，IN-HOME将培训社区卫生工作者对男性进行有效的外展 少数群体照顾者，赋予这些照顾者自我照顾战略和技能， 他们照顾的老年人。 IN-HOME原型将包括介绍和两个完整的在线课程， 文本、动画和粗略的交互式学习体验。在第一阶段，我们将开发IN- HOME原型与指导委员会的反馈保持一致，与CHW最佳 实践，非洲裔美国人和拉丁美洲男性护理人员的需求， 信息.我们将在一项随机、两组研究中评估IN-HOME原型， 经验评估的知识，技能，和自我效能感之间的CHW装备非正式 护理人员支持老年人，并在原型暴露后实施自我护理策略。 I期项目将为II期扩展和严格的随机对照研究做好准备。 CHW外展对少数群体男性照顾者的影响试验。完成后，在家中 将通过KDHRC的强大的销售系统，使用电子邮件和人际 推广和支持采用我们的一套CHW/promotores培训计划。 IN-HOME是创新的，因为它将覆盖服务不足，有需要的人群， 文化上有能力的干预，将提高少数群体男性的生活质量 照顾者和老年人在他们的照顾。

KDH Research & Communication (KDHRC) proposes to develop and evaluate Intervention to Help Orient Men to Excel (IN-HOME), which will train community health workers (CHW) to support African American and Latino male caregivers of older adults. IN-HOME-trained CHWs will conduct outreach with caregivers who will gain the knowledge and skills to protect their own health and optimize outcomes for the older adults in turn. Caregiving is more common in racial and ethnically diverse populations than in white populations. While cultural underpinnings may make caregiving more common, service as a caregiver can nonetheless have negative consequences, with a substantial risk of negative emotional, mental, and physical health outcomes. And although numbering in the millions, male minority caregivers are generally overlooked by current supportive resources. CHWs are ideally positioned to educate and support diverse caregivers due to deeply established connections to their communities and the proven effectiveness of CHW outreach for positive behavior change, including reaching men with health-changing information and skills- development. Therefore, IN-HOME will train CHWs to conduct effective outreach to male minority caregivers, empowering such caregivers with self-care strategies and skills to benefit the older adults they care for. The IN-HOME prototype will consist of the introduction and two full online course lessons with text, animatics, and rough-cut interactive learning experiences. In Phase I, we will develop the IN- HOME prototype with feedback from a steering committee in alignment with CHW best practices, the needs of African American and Latino male caregivers, and scientifically accurate information. We will evaluate the IN-HOME prototype in a randomized, two-group study that empirically assesses knowledge, skills, and self-efficacy among CHWs to equip informal caregivers to support older adults and implement self-care strategies after prototype exposure. The Phase I project will prepare us for Phase II expansion and a rigorous randomized controlled trial of the impact of CHW outreach on minority male caregivers. When complete, IN-HOME will be marketed through KDHRC’s robust sales system that uses email and interpersonal outreach to promote and support adoption of our suite of CHW/promotores training programs. IN-HOME is innovative because it will reach an underserved, at-need population with a culturally competent intervention that will improve quality of life among minority male caregivers and older adults in their care.