19. 一项随机前瞻性调查，以了解不同社区的痴呆症研究准备情况

IF 3.8 2区医学 Q1 GERIATRICS & GERONTOLOGY

American Journal of Geriatric Psychiatry Pub Date : 2025-07-14 DOI:10.1016/j.jagp.2025.04.022

Martha Sajatovic , Lynn Herrmann , Clara Knebusch , Joy Yala , David Silva , Nicole Fiorelli , Edna Fuentes-Casiano , Christopher Burant

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引用次数: 0

摘要

即使在痴呆症研究中招募了种族和少数民族，这些社区的代表性仍然不足。针对研究参与的障碍和促进因素，我们开发并测试了为西班牙裔量身定制的文化定制沟通方法。方法根据阿尔茨海默病研究中心少数民族咨询委员会的意见，采用迭代过程，制作了2个简短的健康传播视频，配有西班牙裔演员/西班牙语字幕。实验视频（POWER）聚焦于障碍、促进因素和参与痴呆症研究的准备。对照视频只关注教育。一项随机前瞻性调查比较了POWER和control。虽然种族或民族不是纳入标准，但我们对西班牙裔和非白人社区进行了过度抽样。我们研究了视频前后痴呆知识、累积障碍和促进研究参与的因素的变化，以及通过跨理论行为改变模型测量的研究准备的变化。结果可分析样本（N= 184）的平均年龄为40.0（标准差/SD 13.2）岁，女性占57.4% (N= 105)，非白人占47.2% (N= 85)，西班牙裔占21.2% (N= 39)， POWER组88例，对照组96例。未经调整的评估显示，在痴呆知识、研究促进因素和研究障碍方面，观看视频前后的变化有显著改善（p均小于0.001），但在POWER组与对照组之间没有显著差异。根据年龄、性别、种族、民族和教育程度进行调整后，整体而言，只有痴呆症知识的变化仍有显著改善，POWER组与对照组之间没有显著差异。在整个样本中，接触过任何交流的西班牙裔人在研究准备方面的改善程度明显较低（r= -）。217年,p = .003)。对POWER组和对照组随机分组的积极变化预测因子的探索性分析表明，POWER组的西班牙裔人在痴呆知识方面可能具有优势(r=。248, p=.02)和研究促进者(r=。342年,p =措施)。结论健康交流可以提高不同社区对痴呆症的认识。

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19. A RANDOMIZED PROSPECTIVE SURVEY TO UNDERSTAND DEMENTIA RESEARCH READINESS ACROSS DIVERSE COMMUNITIES

Introduction

Even with recruitment efforts for racial and ethnic minorities in dementia research, there is still underrepresentation in these communities. Targeting barriers and facilitators to research participation, we developed and tested a culturally tailored communication approach tailored for Hispanics.

Methods

An iterative process informed by input from the minority advisory board of an Alzheimer’s Disease Research Center, developed 2 brief health communication videos, featuring Hispanic actors/Spanish language sub-titles. The experimental video (POWER) focused on barriers, facilitators, and readiness to participate in dementia research. The control video focused on education only. A randomized prospective survey compared POWER vs. control. While race or ethnicity were not inclusion criteria for enrollment, we oversampled Hispanic and non-white communities. We examined change pre vs. post-video on dementia knowledge, cumulative barriers, and facilitators to research participation, as well as change in research readiness measured by Transtheoretical behavior change model.

Results

The analyzable sample (N= 184) had a mean age of 40.0 (Standard deviation/SD 13.2) years, 57.4% (n=105) female, 47.2% (n=85) non-white, 21.2% (n=39) Hispanic, with 88 individuals randomized to POWER and 96 to control. Unadjusted evaluation of change from pre vs. post-video showed significant improvements in dementia knowledge, research facilitators and research barriers (p LESS THAN .001 all) but no significant difference between POWER vs. controls. Adjusted for age, gender, race, ethnicity and education, only change in dementia knowledge remained significantly improved for the group as a whole, with no significant difference between POWER vs. controls. In the entire sample, Hispanics exposed to any communication had significantly less improvement in research readiness (r= -.217, p=.003). Exploratory analysis of positive change predictors in those randomized to POWER and to control suggests Hispanics in POWER may have an advantage with respect to dementia knowledge (r=.248, p=.02) and research facilitators (r=.342, p=.001).

Conclusions

Health communications can improve dementia knowledge across diverse communities.

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来源期刊

American Journal of Geriatric Psychiatry 医学-精神病学

CiteScore

13.00

自引率

4.20%

发文量

381

审稿时长

26 days

期刊介绍： The American Journal of Geriatric Psychiatry is the leading source of information in the rapidly evolving field of geriatric psychiatry. This esteemed journal features peer-reviewed articles covering topics such as the diagnosis and classification of psychiatric disorders in older adults, epidemiological and biological correlates of mental health in the elderly, and psychopharmacology and other somatic treatments. Published twelve times a year, the journal serves as an authoritative resource for professionals in the field.