Dementia
Conditions
Keywords
Black immigrants
Brief summary
This stage I trial will examine if the culturally adapted ACES intervention affects cognitive appraisal (self-efficacy and dysfunctional thoughts) and behavioral activation with Black immigrant living with dementia and their care partners over a 1-month and 3-month period.
Detailed description
The proposed study has two major aims. First, the goal is to determine the feasibility of implementing the adapted ACES intervention with Black immigrant families. It uses an explanatory mixed-methods study, including quantitative data collected using a pre-posttest design, and in-depth qualitative interviews with participants following the post-test to understand their experiences with the newly adapted intervention. Secondly, an extended version of the study will test the potential mechanisms of action in the adapted ACES intervention with Black immigrant caregivers. Specifically, it will examine whether cognitive appraisal and behavioral activation are mechanisms of action that influence the effects of the adapted intervention on care partner outcomes.
Interventions
OTHERActive Caregiving: Enhancing Skills
The Active Caregiving: Enhancing Skills intervention was developed in partnership with Black immigrant dementia care partners. It is based on Cognitive Behavioral Therapy (one type of psychotherapy), and it suggests that a person's behavior and affect are guided by how they structure the world. Through the process of cognitive appraisal (how to evaluate something in your mind) and behavioral activation (how to start a new behavior), the intervention will help the caregiver change their cognitive appraisal (e.g., re-orienting the way they think) and behavioral skills (e.g., changing their behavior or activities) to cope with difficulties in the caregiving process. This group program has six modules that will be offered over weekly sessions through remote technology such as Zoom.
Sponsors
University of Minnesota
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
Person with dementia: Inclusion Criteria: * Family or self-identified report of dementia/memory loss, * Score \<3 on the Six-item Screener. * Age 50 or older. * Ability to communicate in English. * Identify as a Black immigrant. * Ability to give verbal assent.
Exclusion criteria
* Under age 50. * Not a Black immigrant. * Cannot communicate in English. * Unable to give verbal assent. Caregiver: Inclusion criteria: * Black immigrant care partner of persons with AD/ADRD. * Age 18 or older. * Ability to communicate in English. * Identify as a first/second-generation Black immigrant. * Have had at least 6 months of caregiving (any help or assistance provided to a relative related to dementia/memory loss).
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Depression: Week 6 | Week 6 | Scale Reference: Kroenke et al. 2009 Min=0-Low Max=24-High |
| Depression: Month 4.5 | Month 4.5 | Scale Reference: Kroenke et al. 2009 Min=0-Low Max=24-High |
| Caregiver Burden: Month 3 | Month 3 | Burden Scale for Family Caregivers (BSFCs): Min=0-- Bad Max=30--Good |
| Caregiver Burden: Month 4.5 | Month 4.5 | Burden Scale for Family Caregivers (BSFCs): Min=0-- Bad Max=30--Good |
| Quality of Life: Month 3 | Month 3 | Global Health Scale (PROMIS) Min=8--Worst Max=50--Best |
| Quality of Life: Month 4.5 | Month 4.5 | Global Health Scale (PROMIS) Min=8--Worst Max=50--Best |
Countries
United States
Contacts
CONTACTManka Nkimbeng, PhD
PRINCIPAL_INVESTIGATORManka Nkimbeng, PhD
University of Minnesota
Outcome results
None listed