Testing Preliminary Effectiveness of a CHW Training Program to Support African American and Latino Male Caregivers
Condition: Caregiver Burnout
MeSH terms: Caregiver Burden
Study type: Interventional

Summary: 
      Two arm study, experimental and control, to explore the impact of an online training program
      to prepare community health workers conduct effective outreach to support African American
      and Latino male caregivers of older adults.
    

Detailed description: 
      The investigators used a randomized, two-group, pretest/posttest design to test the efficacy
      of the IN-HOME prototype and explore the following research question: To what extent did
      exposure to the IN-HOME prototype relate to positive changes in CHWs' knowledge, skills, and
      perceived self-efficacy to conduct outreach to African American and Latino male caregivers of
      older adults?

      The community-focused and community-based approach of the intervention included an evaluation
      that required strategies to address gender preferences for resources and providing care and
      cultural awareness to understand the communities of focus. The evaluation recognized
      additional barriers such as racial/ethnic group historical experiences and racism that
      effects the groups health outcomes and health care interactions. To ensure that the approach
      was culturally appropriate and the materials were culturally relevant, the investigators
      worked with caregiver and health disparities researchers and CHW practitioners to create an
      advisory committee of experts that provided input into the development of the intervention to
      empower CHWs to conduct outreach to African American and Latino male caregivers. The PI, with
      input from the advisory committee, developed necessary research materials, including the
      recruitment protocols, evaluation instrumentation, and human subjects consent materials. The
      PI also outlined the appropriate statistical analysis methods. All procedure documents were
      reviewed by the KDHRC Institutional Review Board before the evaluation launch.

      The investigators recruited participants through evaluation partners who disseminated the
      study information to CHWs via electronic notifications and flyers. Evaluation partners
      included sites with CHW-related programs and CHW organizations such as, the Virginia CHW
      Association, the Dallas-Fort Worth CHW Organization, Connection Health, and the Hispanic
      Health Initiative Incorporated. The notification provided information about the goal of the
      study, participant eligibility, and a link to an interest and eligibility form. After a
      potential participant completed the interest and eligibility form and determined as eligible
      for the project, they received a link to a consent form that was located on a secure online
      platform.

      CHWs were randomly assigned to the intervention or control group after consent and enrollment
      in the study. All participants completed an online pretest survey. The intervention group was
      exposed to IN-HOME and completed an online posttest survey two weeks after completing the
      IN-HOME modules. The control group participants were not exposed to the IN-HOME program but
      were asked to review the AARP's English "Care at Home" resource webpage. The control group
      participants completed a posttest two weeks after completing the pretest. Participant
      responses to pretest and posttest survey measures were linked using non-personal identifiers.

      The investigators downloaded and exported the data from Alchemer into an encrypted Excel file
      and imported the raw data into STATA. The investigators matched the pretest and posttest
      responses using the random assigned identifiers and conduct analyses to test for the effect
      of IN-HOME exposure on changes in CHWs' knowledge, skills, and self-efficacy to conduct
      outreach to African American and Latino male caregivers. Effectiveness measure for
      intervention feasibility was statistically significant differences between pretest and
      posttest for knowledge and self-efficacy measures among the intervention group participants.
    

Intervention name(s): Intervention to Help Orient Men to Excel (IN-HOME); AARP's English "Care at Home" resource webpage
Intervention type(s): Other; Other
Intervention description(s): A multi module online training; Caregiver information from the American Association of Retired Persons
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: None (Open Label)
Primary purpose: Other
Keywords: Male; Black or African American; Hispanic or Latino; Feasibility Studies