Department of Neurology and Center for Brain Health, Louisiana State University Health Sciences Center Shreveport, USA.
Department of Medicine, and Fiest-Weiller Cancer Center at Louisiana State University Health Sciences Center, USA.
J Appl Gerontol. 2021 Feb;40(2):209-219. doi: 10.1177/0733464820904568. Epub 2020 Feb 11.
We examined knowledge of Alzheimer's disease and related dementias (ADRD), resources, and research opportunities among older African American (AA) and Caucasian caregivers. A mixed methods design integrated qualitative (focus group) and quantitative (survey) data from Northwest Louisiana. Eight focus groups (59 adults, 92% female, 78% AA, 25% rural) revealed limited knowledge. Quantitative findings from 117 ADRD caregivers (83% female, 72% AA, 30% limited heath literacy, 27% low income) indicated participants obtained information from providers (54%), friends and relatives (32%), and the internet (37%). Barriers to care were cost (24%) and lack of family agreement (17%). Few families used adult daycare (8%) or support groups (28%). Concerns about research participation were violation of privacy (30%) and fear of patient distress (27%). Distrust of doctors was minimal (3%). Findings did not vary by race. There is a need for clear, literacy-appropriate information about ADRD, caregiver resources, and clinical trials.
我们研究了老年非裔美国人和白种人照顾者对阿尔茨海默病和相关痴呆症(ADRD)的认知、资源和研究机会。一种混合方法设计综合了来自路易斯安那州西北部的定性(焦点小组)和定量(调查)数据。8 个焦点小组(59 名成年人,92%为女性,78%为非裔美国人,25%为农村)显示出知识有限。对 117 名 ADRD 照顾者(83%为女性,72%为非裔美国人,30%为健康素养有限,27%为低收入)的定量研究结果表明,参与者从提供者(54%)、朋友和亲戚(32%)以及互联网(37%)获取信息。护理的障碍是费用(24%)和缺乏家庭共识(17%)。很少有家庭使用成人日托(8%)或支持小组(28%)。对参与研究的担忧包括侵犯隐私(30%)和担心患者痛苦(27%)。对医生的不信任是最小的(3%)。研究结果不因种族而异。需要有关于 ADRD、照顾者资源和临床试验的清晰、适合文化程度的信息。