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)建议开发和评估干预措施，以 帮助男性了解Excel(居家)，这将培训社区卫生工作者(CHW) 支持非裔美国人和拉丁裔男性照顾老年人。在家受训的家庭主妇 将与那些将获得保护自己的知识和技能的照顾者进行接触 健康，并反过来优化老年人的结果。 照顾在种族和民族多元化的人群中比在白人中更常见 人口。虽然文化基础可能会使照料变得更加普遍，但服务作为一种 尽管如此，照顾者可能会产生负面后果，有很大的负面风险 情绪、心理和身体健康的结果。尽管有数以百万计的男性 少数族裔照顾者通常被目前的支持性资源忽视。 卫生福利院处于教育和支持不同照顾者的理想地位，因为 与他们的社区建立了联系，并证明了CHW外展的有效性 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，居家服务中心将培训社区卫生服务人员对男性进行有效的外展 少数族裔照顾者，赋予这些照顾者以自我照顾战略和技能以受益 他们关心的老年人。 家庭原型将由简介和两节完整的在线课程组成，其中包括 文本、动画和粗略的互动学习体验。在第一阶段，我们会发展智能网- 家庭原型，指导委员会提供反馈，与CHW Best保持一致 实践，非洲裔美国人和拉丁裔男性照顾者的需求，以及科学上的准确性 信息。我们将在一项随机的两组研究中评估居家原型 经验性地评估社区卫生工作者的知识、技能和自我效能感，以装备非正式 照顾者支持老年人，并在原型暴露后实施自我护理策略。 第一阶段的项目将为第二阶段的扩展和严格的随机控制做好准备 社区卫生服务外展对少数族裔男性照顾者影响的试验。完工后，在家 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 推广和支持采用我们的CHW/PROMPOTRES培训计划套件。 居家服务是创新的，因为它将通过 具有文化能力的干预措施将提高少数族裔男性的生活质量 照顾者和在他们照顾下的老年人。

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.