Vanderbilt Memory & Alzheimer's Center, Department of Neurology, Vanderbilt University Medical Center, Nashville, TN 37203, USA.
J Alzheimers Dis. 2013;36(3):597-606. doi: 10.3233/JAD-130287.
Alzheimer's disease (AD) rates are higher among African Americans than in other racial or ethnic groups. However, Black elders participate in research at lower rates than Whites.
The present study aimed to: (1) implement an informational protocol for African Americans elders and their loved ones about the benefits of clinical research and brain donation program participation in AD, and (2) quantitatively assess changes in knowledge, attitudes, and trust.
Participants included 52 African American participants from the Boston University Alzheimer's Disease Center research registry (74 ± 8 years, 83% female) and 11 loved ones. Registry participants completed a pre- and post-group survey assessing brain donation knowledge, factors influencing brain donation, attitudes about medical research, and trust in medical researchers.
There were no significant changes in mean scores between the pre- and post-group surveys. However, post-group outcomes revealed that 69% of participants shared details from the protocol with loved ones, 27% expressed an interest in joining Center-sponsored studies, and 10% indicated an interest in changing their brain donation status.
The informational protocol implemented in this study is an effective method to encourage family discussions about brain donation and increase interest in other AD research studies. Longitudinal follow-up is necessary to assess the long-term implications of these groups on participation in a brain donation program.
阿尔茨海默病(AD)在非裔美国人中的发病率高于其他种族或族裔群体。然而,与白人相比,黑人老年人参与研究的比例较低。
本研究旨在:(1)为非裔美国老年人及其家属实施有关临床研究和大脑捐赠计划参与 AD 益处的信息协议,(2)定量评估知识、态度和信任的变化。
参与者包括来自波士顿大学阿尔茨海默病中心研究登记处的 52 名非裔美国参与者(74±8 岁,83%为女性)和 11 名家属。登记处参与者完成了一项预组和后组调查,评估大脑捐赠知识、影响大脑捐赠的因素、对医学研究的态度以及对医学研究人员的信任。
预组和后组调查之间的平均分数没有显著变化。然而,后组结果显示,69%的参与者与家属分享了协议中的详细信息,27%表示有兴趣参加中心赞助的研究,10%表示有兴趣改变他们的大脑捐赠状态。
本研究实施的信息协议是鼓励家庭讨论大脑捐赠并增加对其他 AD 研究兴趣的有效方法。需要进行纵向随访,以评估这些群体对参与大脑捐赠计划的长期影响。