The Dementia Literacy Assessment (DeLA): A novel measure of Alzheimer's disease and related disorders health literacy in diverse populations

IF 4.9 Q1 CLINICAL NEUROLOGY

Alzheimer''s and Dementia: Translational Research and Clinical Interventions Pub Date : 2025-02-19 DOI:10.1002/trc2.70054

James E. Galvin, Deborah M. Germain, Claudia P. Moore, Jennifer A. Jeanty, Vaatausili Tofaeono, Lisa K. Wiese

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引用次数: 0

Abstract

INTRODUCTION

Low health literacy about Alzheimer's disease and related disorders (ADRD) may limit help-seeking, early detection, and enrollment in clinical trials, particularly in minoritized communities. We created the Dementia Literacy Assessment (DeLA) to improve ADRD health literacy.

METHODS

The DeLA, a storytelling method that included culturally adaptable vignettes embedded with important factoids about ADRD, was administered to 213 participants from urban and rural regions of Palm Beach and Broward County in Florida and 193 participants in American Samoa.

RESULTS

The DeLA increased dementia health literacy and performed well across different participant characteristics (age, sex, education, geographic locale, race, ethnicity, and cognitive performance). Gains in ADRD health literacy were associated with older age, more education, better socioeconomic status, greater resilience, and better cognitive performance.

DISCUSSION

Increasing ADRD health literacy could increase health-seeking behaviors in diverse populations for treatment, enrich recruitment into clinical trials, and may help reduce disparities in health outcomes.

Highlights

Low health literacy about Alzheimer's disease and related disorders (ADRD) may limit help-seeking, early detection, and enrollment in clinical trials, particularly in minoritized communities.
The Dementia Literacy Assessment (DeLA), a storytelling method that included culturally adaptable vignettes embedded with important factoids about ADRD, was administered to 406 participants from urban and rural regions of Palm Beach and Broward County in Florida and American Samoa (11.8% White, 39.8% Black or African American, and 48.4% Pacific Islander [predominantly Samoan] individuals).
The DeLA increased dementia health literacy and performed well across different participant characteristics (age, sex, education, geographic locale, race, and cognitive performance).
Gains in ADRD health literacy were associated with older age, more education, better socioeconomic status, greater resilience, and better cognitive performance.
Increasing ADRD health literacy could increase health-seeking behaviors in diverse populations for treatment, enrich recruitment into clinical trials, and help reduce disparities in health outcomes.

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痴呆症素养评估（DeLA）：不同人群中阿尔茨海默病和相关疾病健康素养的新措施

对阿尔茨海默病及相关疾病（ADRD）的低健康素养可能会限制寻求帮助、早期发现和临床试验的登记，特别是在少数民族社区。我们创建了痴呆症素养评估（DeLA）来提高ADRD的健康素养。方法DeLA是一种讲故事的方法，包括嵌入关于ADRD的重要事实的文化适应性小插曲，对来自佛罗里达州棕榈滩和布劳沃德县城乡地区的213名参与者以及美属萨摩亚的193名参与者进行了管理。结果：DeLA提高了痴呆症健康素养，并在不同的参与者特征（年龄、性别、教育程度、地理位置、种族、民族和认知表现）中表现良好。ADRD健康素养的提高与年龄较大、受教育程度较高、社会经济地位较高、适应能力较强和认知能力较好有关。提高ADRD健康素养可以增加不同人群寻求治疗的健康行为，丰富临床试验的招募，并可能有助于减少健康结果的差异。对阿尔茨海默病和相关疾病（ADRD）的低健康素养可能会限制寻求帮助、早期发现和临床试验的登记，特别是在少数族裔社区。痴呆症读写能力评估（DeLA）是一种讲故事的方法，包括嵌入有关ADRD的重要事实的文化适应性小插图，对来自佛罗里达州棕榈滩和布劳沃德县的城乡地区和美属萨摩亚的406名参与者进行了管理（11.8%为白人，39.8%为黑人或非洲裔美国人，48.4%为太平洋岛民[主要是萨摩亚人]）。DeLA提高了痴呆症健康素养，并在不同的参与者特征（年龄、性别、教育程度、地理位置、种族和认知表现）中表现良好。ADRD健康素养的提高与年龄较大、受教育程度较高、社会经济地位较高、适应能力较强和认知能力较好有关。提高ADRD健康素养可以增加不同人群寻求治疗的健康行为，丰富临床试验的招募，并有助于减少健康结果的差异。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Alzheimer''s and Dementia: Translational Research and Clinical Interventions Medicine-Psychiatry and Mental Health

CiteScore

10.10

自引率

2.10%

发文量

134

审稿时长

10 weeks

期刊介绍： Alzheimer''s & Dementia: Translational Research & Clinical Interventions (TRCI) is a peer-reviewed, open access,journal from the Alzheimer''s Association®. The journal seeks to bridge the full scope of explorations between basic research on drug discovery and clinical studies, validating putative therapies for aging-related chronic brain conditions that affect cognition, motor functions, and other behavioral or clinical symptoms associated with all forms dementia and Alzheimer''s disease. The journal will publish findings from diverse domains of research and disciplines to accelerate the conversion of abstract facts into practical knowledge: specifically, to translate what is learned at the bench into bedside applications. The journal seeks to publish articles that go beyond a singular emphasis on either basic drug discovery research or clinical research. Rather, an important theme of articles will be the linkages between and among the various discrete steps in the complex continuum of therapy development. For rapid communication among a multidisciplinary research audience involving the range of therapeutic interventions, TRCI will consider only original contributions that include feature length research articles, systematic reviews, meta-analyses, brief reports, narrative reviews, commentaries, letters, perspectives, and research news that would advance wide range of interventions to ameliorate symptoms or alter the progression of chronic neurocognitive disorders such as dementia and Alzheimer''s disease. The journal will publish on topics related to medicine, geriatrics, neuroscience, neurophysiology, neurology, psychiatry, clinical psychology, bioinformatics, pharmaco-genetics, regulatory issues, health economics, pharmacoeconomics, and public health policy as these apply to preclinical and clinical research on therapeutics.