A Culturally-Relevant Approach to Reducing Dementia Caregiver Stress in an Underserved Population

减少服务不足人群中痴呆症护理人员压力的文化相关方法

• 批准号: 9089445
• 负责人: OANH L MEYER
• 金额: $ 12.89万
• 依托单位: UNIVERSITY OF CALIFORNIA AT DAVIS
• 依托单位国家: 美国
• 财政年份: 2016
• 资助国家: 美国
• 起止时间: 2016-09-01 至 2020-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9089445
• 关键词: Acculturation; Address; Affect; Aging; Alzheimer' s Disease; American; Area; Asian Americans; Asians; Award; Behavior; Belief; Caregiver Burden; Caregivers; Caring; Center for Translational Science Activities; Clinical Sciences; Communities; Community Outreach; Complement; Cultural Diversity; Data; Data Analyses; Data Collection; Dementia; Dementia caregivers; Development; Diagnosis; Distress; Effectiveness of Interventions; Elderly; Employee Strikes; Environment; Ethnic group; Exercise; Family; Family Caregiver; Family member; Feedback; Focus Groups; Foundations; Funding; Goals; Health; Immigrant; Impaired cognition; Individual; Intervention; Intervention Studies; Knowledge; Language; Lead; Managed Care; Mental Health; Mentored Research Scientist Development Award; Mentors; Mentorship; Methods; Minority; Modeling; Nature; Outcome; Personal Satisfaction; Persons; Play; Population; Population Heterogeneity; Psychological Theory; Psychologist; Public Health; Randomized Controlled Trials; Recruitment Activity; Research; Research Activity; Research Personnel; Research Project Grants; Research Training; Resources; Risk; Risk Factors; Role; Self Efficacy; Services; Stress; Stress and Coping; Study Section; Subgroup; Tai Ji; Testing; Training; Translating; Trauma; Underserved Population; United States National Institutes of Health; Vietnam; War; Work; base; care recipients; career; career development; caregiver interventions; caregiving; community based participatory research; coping; dementia caregiving; design; disparity reduction; ethnic diversity; ethnic minority population; evidence base; experience; group intervention; health care service utilization; health disparity; improved; innovation; intergenerational; literacy; multi-component intervention; novel; physical conditioning; primary caregiver; psychosocial; psychosocial development; public health relevance; racial and ethnic; research and development; skills; skills training; social; theories; therapy development

 DESCRIPTION (provided by applicant): Asian Americans currently are the fastest growing ethnic group in the U.S., thus, the number of Asian Americans with Alzheimer's disease (AD) and their family caregivers will also increase. Surprisingly, very little intervention work has focused on addressing caregiver needs in this population. Specifically, a large gap exists in the development of interventions to reduce caregiver stress and little is known about how cultural diversity impacts caregiver stress and intervention outcomes. This Mentored Research Scientist Development Award (K01) will give Dr. Meyer the skills, training, and mentoring necessary to conduct community-engaged interventions to reduce the burden of AD in culturally diverse family caregivers. The proposed mentored research activities for this K01 award are to refine and pilot test a theoretically-informed, culturally-relevant, community-based intervention informed by sociocultural stress and coping and social contextual models to reduce distress and enhance well-being in Vietnamese American dementia caregivers. By focusing on this large and underserved population, this K01 application is consistent with NIA Research Goal E: Improve our ability to reduce health disparities and eliminate health inequities among older adults. It als responds to the National Alzheimer's Project Act (NAPA) to involve more racially/ethnically diverse older adults in research and to develop effective services to support ethnically diverse families. This application includes experiential and research activities in three critical areas fo Dr. Meyer's career development: (1) knowledge of AD and associated dementias (e.g., risk factors, assessment and diagnosis, course) and cognitive impairment and how they affect families, (2) methodological skills and cultural knowledge to conduct community-engaged intervention research, including formal training in aspects of community-based participatory research (e.g. mixed methods) and enhanced knowledge of Vietnamese culture and language, and (3) theoretical and methodological skills necessary to design, implement, and analyze scientifically rigorous interventions for culturally diverse populations (e.g., design issues, longitudinal data analysis). Mentored research training will occur in the context of a focused research project with two aims: (1) Refine and manualize a culturally- informed intervention to reduce distress and enhance well-being in Vietnamese dementia caregivers, and (2) Examine the feasibility and acceptability of the pilot intervention in a randomized controlled trial. Completion of the proposed research and career development activities will generate data to inform the development of an R34 or R21 application and provide Dr. Meyer with the experience necessary to transition from observational/ descriptive to community-based intervention work. Dr. Meyer will leverage existing resources and expertise at three NIH-funded centers at UC Davis: the Alzheimer's disease Center, the Resource Center for Minority Aging Research, and the Clinical and Translational Science Center. These resources, along with the mentoring team's strong, collaborative relationships with local community-based organizations will provide an enriched environment that will help Dr. Meyer to be a successful and independent investigator.

 描述（由适用提供）：亚裔美国人目前是美国增长最快的族裔，因此，患有阿尔茨海默氏病的亚裔美国人人数（AD）及其家庭护理人员也将增加。令人惊讶的是，很少的干预工作集中在满足该人群中的护理人员需求上。具体而言，在减少护理人员压力的干预措施的发展中存在很大的差距，并且对文化多样性如何影响护理人员的压力和干预结果几乎没有了解。这项受过指导的研究科学家发展奖（K01）将为迈耶博士提供进行社区参与干预措施所必需的技能，培训和心理，以减少在文化多样的家庭护理人员中的广告燃烧。拟议的这一K01奖的指导研究活动旨在完善和试点测试理论上知名的，与文化相关的，基于社区的干预措施，这些干预措施由社会文化压力和应对和社会上下文模型所告知，以减少越南美国痴呆症护理人员的痛苦并改善痛苦和健康状况。通过关注这个大量和服务不足的人群，这种K01的应用与NIA研究目标E一致：提高我们减少健康差异并消除老年人健康不平等的能力。它对《国家阿尔茨海默氏症的项目法案》（NAPA）做出了回应，以使更多的种族/种族潜水员在研究中涉及研究，并开发有效的服务以支持有效的种族隔离家庭。 This application includes expert and research activities in three critical areas fo Dr. Meyer's career development: (1) knowledge of AD and associated dementias (e.g., risk factors, assessment and diagnostics, course) and cognitive impairment and how they affect families, (2) methodological skills and cultural knowledge to conduct community-engaged Intervention research, including formal training in aspects of community-based participation research (e.g. mixed methods) and enhanced knowledge of Vietnamese culture and language, and （3）设计，实施和分析对文化多样性人群的科学严格干预所必需的理论和方法学技能（例如，设计问题，纵向数据分析）。指导的研究培训将在一个重点研究项目的背景下进行两个目标：（1）精炼和手动对文化知识的干预措施进行研究，以减少越南痴呆症护理人员的痛苦并增强福祉，（2）检查在随机对照试验中试验性干预的可行性和可接受性。拟议的研究和职业发展活动的完成将生成数据，以告知R34或R21应用程序的开发，并为Meyer博士提供从观察/描述到基于社区的干预工作所需的经验。 Meyer博士将利用UC Davis的三个由NIH资助的中心的现有资源和专业知识：阿尔茨海默氏病中心，少数民族老化研究资源中心以及临床和转化科学中心。这些资源以及心理团队与本地社区组织的牢固合作关系将提供丰富的环境，以帮助迈耶博士成为一名成功且独立的研究者。