Dementia, Healthy
Conditions
Brief summary
This pilot study plans to examine feasibility and outcomes of a culturally/religiously-tailored church-based dementia screening intervention among older adult African American church members and community members who use church outreach services in 4 African American churches.
Detailed description
The primary aim of this study is to conduct an exploratory pilot study to examine feasibility and outcomes of a culturally/religiously-tailored church-based dementia screening intervention among older adult African American church members and community members who use church outreach services in 4 African American churches (N=100). Our secondary outcomes are to assess the impact of the intervention on dementia-related stigma and linkage to care. Intervention content is based on the Theory of Planned Behavior; intervention delivery is based on the Social-Ecological Model - both guided by a faith community engagement approach. Trained faith leaders will deliver the tailored intervention through multilevel church outlets: individual self-help resources (e.g., risk checklist, commitment to screening cards); group ministry discussion guides/seminar on dementia; church-wide services using sermon guides, responsive readings, and church bulletin inserts; and church-community level text messages, dementia screening, and linkage to care services. Two screening events will be held at each church. We will also conduct a process evaluation that will include post-test study focus groups. Specific Aim 1. Test a religiously/culturally-tailored, church-based dementia screening intervention on receipt of dementia screening, stigma, and linkage to care use among an older adult African American church-populations at 4 months. Hypothesis. The tailored church-based dementia screening intervention will evidence increased screening and linkage to care rates, and lower dementia-related stigma beliefs at 4 months. Specific Aim 2. Evaluate predictors of receipt of dementia screening at 4 months among older adult African American church-populations to determine modifiable screening facilitators/barriers. Specific Aim 3. Conduct a process evaluation to examine study intervention implementation facilitators, barriers, and dose along with exposure and satisfaction to identify essential intervention components.
Interventions
BEHAVIORALProject Grace
A multilevel church-based intervention to encourage cognitive screens and brain health.
Sponsors
University of Missouri, Kansas City
University of Kansas Medical Center
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SCREENING
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
55 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
1. Age ≥55 2. Regular church member (attending church \> monthly) or community member receiving church outreach services (\>3 times annually) 3. Willing to participate in two surveys (baseline and 4 months) 4. Willing to provide contact information for at least 2 other persons 5. Residing in the Kansas City metropolitan area 6. Provide a working contact email address or number
Exclusion criteria
* None
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of Participants Who Received a Cognitive Screening | 4 months from baseline | Question at 4 months from baseline asking whether the participant has received a cognitive screening within the last 4 months |
| Number of Participants Who Were Linked to Care Services | 4 months from baseline | Question at 4 months from baseline asking whether the participant has received a linkage to care services within the last 4 months |
Countries
United States
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| Project Grace This intervention will be delivered through church-based multilevel activities by trained church leaders using religiously/ culturally-tailored study materials (sermon guides, responsive readings, educational games, brochures, educational/testimonial videos) packaged in a culturally-tailored. Intervention churches will receive the Project Grace Tool Kit and intervention implementation directions to seek cognitive screening. These churches will hold a Project Grace Kickoff event, where a sermon, and other tool kit materials will be distributed. After the Kick-off, liaisons will deliver 1-2 Tool Kit materials/activities per month through targeted multilevel church activities over 4 months. Delivery of intervention components will coincide with existing, multilevel activities that occur in churches through: a) church-wide services, b) outreach ministry groups; and c) individual level activities (e.g., text/voice/email health promotion messages from church) over 4 months.
Project Grace: A multilevel church-based intervention to encourage cognitive screens and brain health. | 62 |
| Standard Control Standard information churches will receive standard dementia education information. These churches will receive: a) non-tailored project materials collected from mental health organizations and b) standard community-based mental health screening events) coordinated by their Community Health Liaisons. These churches will receive all Project Grace Tool Kit materials and implementation training after the completion of assessments.
Project Grace: A multilevel church-based intervention to encourage cognitive screens and brain health. | 37 |
| Total | 99 |
Baseline characteristics
| Characteristic | Standard Control | Total | Project Grace |
|---|---|---|---|
| Age, Continuous | 68.4 years STANDARD_DEVIATION 8.3 | 68.7 years STANDARD_DEVIATION 8.4 | 68.9 years STANDARD_DEVIATION 8.6 |
| Ethnicity (NIH/OMB) Hispanic or Latino | 0 Participants | 0 Participants | 0 Participants |
| Ethnicity (NIH/OMB) Not Hispanic or Latino | 35 Participants | 95 Participants | 60 Participants |
| Ethnicity (NIH/OMB) Unknown or Not Reported | 2 Participants | 4 Participants | 2 Participants |
| Race (NIH/OMB) American Indian or Alaska Native | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Asian | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Black or African American | 37 Participants | 99 Participants | 62 Participants |
| Race (NIH/OMB) More than one race | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Native Hawaiian or Other Pacific Islander | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Unknown or Not Reported | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) White | 0 Participants | 0 Participants | 0 Participants |
| Region of Enrollment United States | 37 participants | 99 participants | 62 participants |
| Sex: Female, Male Female | 31 Participants | 82 Participants | 51 Participants |
| Sex: Female, Male Male | 6 Participants | 17 Participants | 11 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | 0 / 62 | 0 / 37 |
| other Total, other adverse events | 0 / 62 | 0 / 37 |
| serious Total, serious adverse events | 0 / 62 | 0 / 37 |
Outcome results
Primary
Number of Participants Who Received a Cognitive Screening
Question at 4 months from baseline asking whether the participant has received a cognitive screening within the last 4 months
Time frame: 4 months from baseline
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Project Grace | Number of Participants Who Received a Cognitive Screening | 5 Participants |
| Standard Control | Number of Participants Who Received a Cognitive Screening | 11 Participants |
Primary
Number of Participants Who Were Linked to Care Services
Question at 4 months from baseline asking whether the participant has received a linkage to care services within the last 4 months
Time frame: 4 months from baseline
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Project Grace | Number of Participants Who Were Linked to Care Services | 5 Participants |
| Standard Control | Number of Participants Who Were Linked to Care Services | 11 Participants |