Implementing a dementia caregiver support strategy among Latinos in primary care

项目摘要/摘要：项目3(佩拉莱斯-PUCHALT) 痴呆症患者(IWDS)的拉丁裔照顾者经历了不成比例的压力、抑郁、 以及缺乏获得照顾者社区资源的机会。护理者支持干预可以减少护理者 通过提供有关痴呆症的知识和技能，照顾，可用的社区资源，以及 应对压力。不幸的是，大多数初级保健诊所在照顾者方面提供的支持很少 痴呆症患者。许多初级保健诊所正在使用社区卫生工作者(CHW)来 提供文化定制的健康教育和与社区资源的联系，但根据我们的知识 没有具体参与为国际残疾人士照顾者提供支助。这是一个独特的机会 让社区妇女参与在拉美裔初级保健中实施照顾者支持干预措施的努力。这个 本项目的总体目标是为制定一项执行战略提供信息，在该战略中，社区卫生组织 交付…Unidos Podemos！在初级保健中的拉美裔人中。·Unidos Podemos！是一种文化定制的证据- 以照顾者为基础的拉丁裔支持干预。我们提出了一个利用CHWS的实施策略 已经在初级保健中工作，并为他们提供所需的培训、资源和持续支持 执行“Unidos Podemos！”关于目标1，我们将确定实施以下目标的障碍和促进者 ·Unidos Podemos！在初级保健中的拉丁裔中的社区妇女。在目标2上，我们将测试CHW的可行性- 执行“Unidos Podemos”的支持战略！在两个初级保健诊所的拉丁裔照顾者中。

PROJECT SUMMARY/ABSTRACT: PROJECT 3 (PERALES-PUCHALT) Latino caregivers of individuals with dementia (IWDs) experience disproportionate levels of stress, depression, and poor access to caregiver community resources. Caregiver support interventions can reduce caregiver stress by providing knowledge and skills regarding dementia, caregiving, available community resources, and coping with stress. Unfortunately, most primary care clinics offer little in terms of caregiver support for their patients with dementia. Community health workers (CHWs) are being used in many primary care clinics to provide culturally tailored health education and connections with community resources, but to our knowledge have not been specifically engaged in providing support for caregivers of IWDs. There is a unique opportunity to engage CHWs in efforts to implement caregiver support interventions among Latinos in primary care. The overall objective of this project is to inform the development of an implementation strategy in which CHWs deliver ¡Unidos Podemos! among Latinos in primary care. ¡Unidos Podemos! is a culturally tailored evidence- based caregiver support intervention for Latinos. We propose an implementation strategy that leverages CHWs already working in primary care and provides them with the training, resources and ongoing support needed to implement ¡Unidos Podemos!. On Aim 1 we will identify barriers and facilitators to the implementation of ¡Unidos Podemos! by CHWs among Latinos in primary care. On Aim 2 we will test the feasibility of a CHW- support strategy for implementing ¡Unidos Podemos! among Latino caregivers in two primary care clinics.