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.
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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
150
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.
University of Minnesota
Minneapolis, Minnesota, United States
RECRUITINGDepression: Week 6
Scale Reference: Kroenke et al. 2009 Min=0-Low Max=24-High
Time frame: Week 6
Depression: Month 4.5
Scale Reference: Kroenke et al. 2009 Min=0-Low Max=24-High
Time frame: Month 4.5
Caregiver Burden: Month 3
Burden Scale for Family Caregivers (BSFCs): Min=0-- Bad Max=30--Good
Time frame: Month 3
Caregiver Burden: Month 4.5
Burden Scale for Family Caregivers (BSFCs): Min=0-- Bad Max=30--Good
Time frame: Month 4.5
Quality of Life: Month 3
Global Health Scale (PROMIS) Min=8--Worst Max=50--Best
Time frame: Month 3
Quality of Life: Month 4.5
Global Health Scale (PROMIS) Min=8--Worst Max=50--Best
Time frame: Month 4.5
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