Ignite Creation Date:
2024-05-06 @ 2:31 PM
Last Modification Date:
2024-10-26 @ 1:32 PM
Study NCT ID:
NCT04346745
Status:
COMPLETED
Last Update Posted:
2023-02-10
First Post:
2020-04-08
Brief Title:
Volunteering Program for Chinese Dementia Caregivers
Sponsor:
Columbia University
Organization:
Columbia University
Study Overview
Official Title:
Developing a Culturally-sensitive Volunteering Program to Reduce Stress of Dementia Caregivers in Chinese American Communities
Status:
COMPLETED
Status Verified Date:
2024-08
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
Although many older Chinese Americans are expected to need intensive care because of cognitive impairment a large gap exists in development of culturally sensitive interventions to reduce stress among caregivers in Chinese American communities This research project will develop and pilot test a culturally sensitive intervention the peer mentoring program PMP which is informed by the sociocultural stress and coping model This project will generate preliminary data for a larger randomized controlled trial for efficacy or effectiveness testing of PMP which is an innovative intervention to support dementia among Chinese Americans by empowering the existing human resources of experiential caregivers in the same ethnic community
Detailed Description:
Providing care for a family member with Alzheimers disease and related dementia ADRD negatively affects caregivers physical and mental healthDespite numerous studies on developing interventions for ADRD family caregivers of Caucasian Americans it is not clear what interventions are effective in reducing the stress of family caregivers of Asian Americans The purpose of this study is to develop a culturally sensitive and effective intervention to reduce the stress of dementia caregivers of Chinese Americans It is necessary to prioritize Chinese American ADRD caregiving research because of a the increasing needs of ADRD caregivers of Chinese Americans the largest and fastest-growing ethnic group of Asians in the United States b erroneous conclusions about Chinese American health in current research and policy practices due to omission aggregation and extrapolation c health inequality issues ignored by the model minority stereotype of Asian Americans in general d mental health vulnerabilities of older Chinese Americans and e unresolved challenges of Chinese American caregivers such as lack of health literacy concerns about stigma failure to maintain family harmony social isolation and barriers to accessing culturally competent services Given these concerns and the lack of health professionals who can speak Chinese and understand Chinese culture and norms this study aims to develop a peer mentoring program to support dementia caregivers by empowering the human resources of experiential caregivers in Chinese American communities
Informed by the sociocultural stress and coping model and relevant empirical evidence the investigators designed the Peer Mentoring Program PMP to train and monitor experiential caregivers in providing mentoring support for caregivers in the same ethnic community Experiential caregivers in the same ethnic community could understand the caregiving journey embedded in Chinese cultural values and the international migration experience In the PMP experiential caregivers will be hired and trained as volunteer peer mentors and monitored in providing mentoring support to dementia caregivers to address cultural beliefs about dementia and family caregiving develop culturally effective coping strategies and enhance culturally appropriate social support The intervention is promising given the needs of Chinese caregivers positive results of a previous trial in a senior volunteer program in Chinese Americans communities benefits of volunteering for older adults preliminary analysis results of data from our pilot study 70 Chinese caregivers reported a desire to receive peer mentoring support and the potential of developing a cost-effective and sustainable intervention that could be applied in other racial and ethnic minority communities
This proposed study will use a community-based participatory research CBPR approach based on a partnership of multidisciplinary researchers health professionals family caregivers and older volunteers in NYC to accomplish Stage 0 Aim1 and Stage I Aims 2 and 3 for behavioral intervention development and to develop Stage II andor Stage IV Aim 3
Aim 1 To study the challenges and enablers of successful caregiving for persons with ADRD in Chinese American communities in New York City NYC The investigators will analyze recently collected data from in-depth interviews and questionnaire-based surveys to identify robust challenges barriers resources and successful coping strategies among these caregivers which will help develop the PMP intervention manual
Aim 2 To develop the PMP intervention protocol Using the analysis results from Aim 1 in collaboration with multidisciplinary researchers and professionals I will develop the volunteer training manual intervention protocol and screening and evaluation tools
Aim 3 To examine the feasibility and acceptability of PMP A pilot randomized clinical trial of five volunteers and 30 caregivers 15 to intervention 15 to control will be conducted Qualitative and quantitative data from caregivers volunteers and professional collaborators will be collected to evaluate feasibility and acceptability of recruitment randomization intervention adherence treatment fidelity and administration of measures Based on the results of feasibility and acceptability test The investigators will refine the intervention and inform a subsequent larger randomized control trial RCT to initiate an efficacy or hybrid stage of intervention development
Informed by the sociocultural stress and coping model and relevant empirical evidence the investigators designed the Peer Mentoring Program PMP to train and monitor experiential caregivers in providing mentoring support for caregivers in the same ethnic community Experiential caregivers in the same ethnic community could understand the caregiving journey embedded in Chinese cultural values and the international migration experience In the PMP experiential caregivers will be hired and trained as volunteer peer mentors and monitored in providing mentoring support to dementia caregivers to address cultural beliefs about dementia and family caregiving develop culturally effective coping strategies and enhance culturally appropriate social support The intervention is promising given the needs of Chinese caregivers positive results of a previous trial in a senior volunteer program in Chinese Americans communities benefits of volunteering for older adults preliminary analysis results of data from our pilot study 70 Chinese caregivers reported a desire to receive peer mentoring support and the potential of developing a cost-effective and sustainable intervention that could be applied in other racial and ethnic minority communities
This proposed study will use a community-based participatory research CBPR approach based on a partnership of multidisciplinary researchers health professionals family caregivers and older volunteers in NYC to accomplish Stage 0 Aim1 and Stage I Aims 2 and 3 for behavioral intervention development and to develop Stage II andor Stage IV Aim 3
Aim 1 To study the challenges and enablers of successful caregiving for persons with ADRD in Chinese American communities in New York City NYC The investigators will analyze recently collected data from in-depth interviews and questionnaire-based surveys to identify robust challenges barriers resources and successful coping strategies among these caregivers which will help develop the PMP intervention manual
Aim 2 To develop the PMP intervention protocol Using the analysis results from Aim 1 in collaboration with multidisciplinary researchers and professionals I will develop the volunteer training manual intervention protocol and screening and evaluation tools
Aim 3 To examine the feasibility and acceptability of PMP A pilot randomized clinical trial of five volunteers and 30 caregivers 15 to intervention 15 to control will be conducted Qualitative and quantitative data from caregivers volunteers and professional collaborators will be collected to evaluate feasibility and acceptability of recruitment randomization intervention adherence treatment fidelity and administration of measures Based on the results of feasibility and acceptability test The investigators will refine the intervention and inform a subsequent larger randomized control trial RCT to initiate an efficacy or hybrid stage of intervention development
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None