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

帮助男性走向卓越的干预措施（在家）：适合文化的社区卫生工作者培训计划，以减轻少数族裔护理人员的负担

• 批准号: 10600554
• 负责人: Dexter L Cooper
• 金额: $ 25.16万
• 依托单位: KDH RESEARCH AND COMMUNICATION, INC.
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-09-24 至 2023-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10600554
• 关键词: Adoption; Adult Children; Affect; African American; Area; Attitude; Caregiver Burden; Caregiver support; Caregivers; Caring; Communication Research; Communities; Community Health Aides; Distress; E-learning; Effectiveness; Elderly; Electronic Mail; Emotional; Evaluation; Exhibits; Exposure to; Family member; Feedback; Feeling; Female; Health; Health Care Visit; Healthcare; Healthcare Systems; Immunity; Inpatients; Intervention; Knowledge; Latino; Lead; Learning; Marketing; Measures; Mental Depression; Mental Health; Methods; Minority; Minority Groups; Minority Men; Outcome; Outpatients; Personal Satisfaction; Persons; Phase; Physiological; Population; Population Heterogeneity; Positioning Attribute; Program Development; Psyche structure; Quality of life; Randomized; Randomized Controlled Trials; Reporting; Research; Resources; Risk; Role; Sales; Self Care; Self Efficacy; Services; Small Business Innovation Research Grant; Spouses; Stress; System; Text; Time; Training; Training Programs; Visit; Woman; Women' s Health; aging in place; base; behavior change; behavioral health; blood pressure elevation; burnout; caregiver stress; caregiving; commercialization; coping; cost effectiveness; course development; cultural competence; cultural values; design; education resources; empowered; ethnic diversity; ethnic minority; evidence base; exhaust; experience; hands-on learning; high risk; improved; informal caregiver; informal caregiving; innovation; male; medical specialties; men; mortality; online community; online course; outreach; physical conditioning; programs; prototype; racial diversity; skill acquisition; skills; stressor; success; tool; urgent care; virtual

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.

KDH 研究与传播 (KDHRC) 建议制定和评估干预措施 帮助男性走向卓越（在家），这将培训社区卫生工作者 (CHW) 支持老年人的非裔美国人和拉丁裔男性护理人员。接受过家庭培训的社区卫生工作者 将与护理人员进行外展活动，他们将获得保护自己的知识和技能 健康并反过来优化老年人的结果。 与白人相比，护理在种族和民族多元化人群中更为常见 人口。虽然文化基础可能使护理变得更加普遍，但服务作为一种 尽管如此，照顾者仍可能产生负面后果，并存在很大的负面风险 情绪、心理和身体健康结果。尽管男性数量已达数百万 当前的支持资源普遍忽视了少数族裔照顾者。 由于深刻的认识，社区卫生工作者处于教育和支持多元化护理人员的理想位置。 与他们的社区建立了联系，CHW 的外展活动已被证明是有效的 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宣传 少数族裔照顾者，赋予这些照顾者自我照顾策略和技能以受益 他们照顾的老年人。 IN-HOME 原型将包括简介和两门完整的在线课程 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，带有指导委员会的反馈，与 CHW 最佳一致 实践、非裔美国人和拉丁裔男性护理人员的需求以及科学准确的 信息。我们将在一项随机、两组研究中评估 IN-HOME 原型， 实证评估社区卫生工作者的知识、技能和自我效能，以装备非正式的 护理人员在原型暴露后支持老年人并实施自我护理策略。 一期项目将为我们二期扩建和严格的随机控制做好准备 试验社区卫生工作者外展活动对少数族裔男性护理人员的影响。完成后，在家中 将通过 KDHRC 强大的销售系统进行营销，该系统使用电子邮件和人际关系 进行外展活动，以促进和支持我们的社区卫生工作者/宣传员培训计划套件的采用。 IN-HOME 之所以具有创新性，是因为它能够为服务不足、有需要的人群提供服务 具有文化能力的干预措施将改善少数族裔男性的生活质量 照顾者和他们照顾的老年人。