Encouraging Cognitive Screenings at African American Churches
Study Details
Study Description
Brief Summary
This pilot study plans to examine feasibility and outcomes of a culturally/religiously-tailored church-based dementia screening intervention among older adult African American church members and community members who use church outreach services in 4 African American churches.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
Phase 1 |
Detailed Description
The primary aim of this study is to conduct an exploratory pilot study to examine feasibility and outcomes of a culturally/religiously-tailored church-based dementia screening intervention among older adult African American church members and community members who use church outreach services in 4 African American churches (N=100). Our secondary outcomes are to assess the impact of the intervention on dementia-related stigma and linkage to care. Intervention content is based on the Theory of Planned Behavior; intervention delivery is based on the Social-Ecological Model - both guided by a faith community engagement approach. Trained faith leaders will deliver the tailored intervention through multilevel church outlets: individual self-help resources (e.g., risk checklist, commitment to screening cards); group ministry discussion guides/seminar on dementia; church-wide services using sermon guides, responsive readings, and church bulletin inserts; and church-community level text messages, dementia screening, and linkage to care services. Two screening events will be held at each church. We will also conduct a process evaluation that will include post-test study focus groups.
Specific Aim 1. Test a religiously/culturally-tailored, church-based dementia screening intervention on receipt of dementia screening, stigma, and LTC use among an older adult African American church-populations at 4 months.
Hypothesis. The tailored church-based dementia screening intervention will evidence increased screening and LTC rates, and lower dementia-related stigma beliefs at 4 months.
Specific Aim 2. Evaluate predictors of receipt of dementia screening at 4 months among older adult African American church-populations to determine modifiable screening facilitators/barriers.
Specific Aim 3. Conduct a process evaluation to examine study intervention implementation facilitators, barriers, and dose along with exposure and satisfaction to identify essential intervention components.
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Experimental: Project Grace This intervention will be delivered through church-based multilevel activities by trained church leaders using religiously/ culturally-tailored study materials (sermon guides, responsive readings, educational games, brochures, educational/testimonial videos) packaged in a culturally-tailored. Intervention churches will receive the Project Grace Tool Kit and intervention implementation directions to seek cognitive screening. These churches will hold a Project Grace Kickoff event, where a sermon, and other tool kit materials will be distributed. After the Kick-off, liaisons will deliver 1-2 Tool Kit materials/activities per month through targeted multilevel church activities over 4 months. Delivery of intervention components will coincide with existing, multilevel activities that occur in churches through: a) churchwide services, b) outreach ministry groups; and c) individual level activities (e.g., text/voice/email health promotion messages from church) over 4 months. |
Behavioral: Project Grace
A multilevel church-based intervention to encourage cognitive screens and brain health.
|
| Active Comparator: Standard Control Standard information churches will receive standard dementia education information. These churches will receive: a) non-tailored project materials collected from mental health organizations and b) standard community-based mental health screening events) coordinated by their Community Health Liaisons. These churches will receive all Project Grace Tool Kit materials and implementation training after the completion of assessments. |
Behavioral: Project Grace
A multilevel church-based intervention to encourage cognitive screens and brain health.
|
Outcome Measures
Primary Outcome Measures
- Number of Participants who received a cognitive screening [4 months from baseline]
Question at 4 months from baseline asking whether the participant has received a cognitive screening within the last 4 months
- Number of Participants who were linked to care services [4 months from baseline]
Question at 4 months from baseline asking whether the participant has received a linkage to care services within the last 4 months
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Age ≥55
-
Regular church member (attending church > monthly) or community member receiving church outreach services (>3 times annually)
-
Willing to participate in two surveys (baseline and 4 months)
-
Willing to provide contact information for at least 2 other persons
-
Residing in the Kansas City metropolitan area
-
Provide a working contact email address or number
Exclusion Criteria:
- None
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | School of Medicine, UMKC | Kansas City | Missouri | United States | 64108 |
Sponsors and Collaborators
- University of Kansas Medical Center
- University of Missouri, Kansas City
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 2017382 KC