E-Technology for Chinese Dementia Caregivers

描述（由申请人提供）：这是通过NIH基本行为和社会科学（b-BSSR）机会网络（OppNet）响应NOT-OD-10-034的申请。家长补助金（2 R44 AG 026815），“电子技术为中国痴呆症照顾者，”支持第二阶段SBIR随机试验，测试基于网络的教育和社会支持干预为讲中文的痴呆症照顾者。OppNet的研究符合第一个b-BSSR资助类别，即“行为和社会过程研究”，更具体地说，是关于中国痴呆症照顾者的“社会文化过程对认知和情绪反应的影响”。拟议的研究将大大扩大资助的父母SBIR项目的范围，允许深入研究影响照顾者结果的基本社会文化过程和机制。这一补充将使我们能够纳入额外的文化变量，使我们能够使用结构方程方法进行复杂的分析，以模拟文化价值观之间关系的直接和间接途径（例如，家庭主义、互惠和宽容）和其他文化上的变量（例如，应对方式、社会支持和自我效能/控制）对照顾者结果的影响。虽然有大量研究记录了特定文化群体痴呆症的性质和影响的差异，但对影响这些差异的因素了解甚少。拟议中的应用程序将使我们能够分析区分那些介导的特定文化群体的代表性和经验，从那些文化价值观，可能温和的照顾者的结果。这样的分析是必要的，以阐明复杂的和多方面的影响，文化价值观和文化环境变量的社会文化压力和应对模式。拟议的补充研究将（a）验证定性研究中用于评估结局、中介变量和调节变量的措施的文化和内容有效性，以及（B）将定性研究的结果纳入当前的II期结局评估，分析文化变量对影响护理人员结局的机制和过程（中介变量和调节变量）的影响。 公共卫生相关性：本研究以压力与因应的社会文化模式为基础，探讨文化因素对华人照顾者压力与因应机制与过程的影响

DESCRIPTION (provided by applicant): This is an application in response to NOT-OD-10-034 through the NIH Basic Behavior and Social Sciences (b-BSSR) Opportunity Network (OppNet). The parent grant (2 R44 AG026815), "E-Technology for Chinese Dementia Caregivers," supports a Phase II SBIR randomized trial that tests a web-based education and social support intervention for Chinese-speaking dementia caregivers. The proposed OppNet research fits within the first b-BSSR funding category, that of "research on behavioral and social processes," and more specifically, on the "influence of sociocultural processes on cognitive and emotional responses" of Chinese dementia caregivers. The proposed research will expand significantly the scope of the funded parent SBIR project by allowing an in-depth examination of basic sociocultural processes and mechanisms that influence caregiver outcomes. This supplement will enable us to incorporate additional cultural variables that will allow us to conduct sophisticated analyses using structural equation methods to model the direct and indirect pathways of the relationships between cultural values (e.g., familism, reciprocity, and tolerance) and other culturally situated variables (e.g., coping styles, social support, and self-efficacy/control) on caregiver outcomes. While there has been significant research documenting differences in the nature and effects of dementia caregiving for specific cultural groups, there is little understanding of the factors that influence these differences. The proposed application will allow us to analytically distinguish elements of caregiving from those mediated by the representations and experiences of specific cultural groups, from those cultural values that may moderate caregiver outcomes. Such an analysis is necessary to elucidate the complex and multidimensional influences of cultural values and culturally-situated variables in the socioculural stress and coping model. The proposed supplemental study will (a) verify cultural and content validity of measures used to assess outcome, mediator, and moderator variables in a qualitative study, and (b) incorporate findings from the qualitative study into the current Phase II outcome assessment, analyzing the influence of cultural variables on mechanisms and processes (mediator and moderator variables) that affect caregiver outcomes. PUBLIC HEALTH RELEVANCE: The proposed SBIR examines the influence of cultural variables on stress and coping mechanisms and processes for ethnic Chinese caregivers, relying on a sociocultural model of stress and coping