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Symposium

Social Research, Policy, and Practice

The NIH Stage Model and Study Examples of Early Stages in Dementia Care Intervention Development Research

Friday, November 10, 2023
12:00 PM – 1:30 PM ET
Location: Room 116

The NIH’s Stage Model provides a common language to facilitate discussion of intervention development research. According to NIH Stage Model (2022), “an examination of the mechanisms of behavior change or the principles underlying an intervention is encouraged by the NIH Stage Model in every Stage of behavioral intervention development.” The five papers in this symposium focus on early-stage intervention development by refinement, adaptation and pilot testing (Stage 1) related to dementia and palliative care (PC) clinical trials. The first paper is a cluster trial of a PC education program for nurses (N=23) in 10 assisted living communities that tested the mechanism of staff self-efficacy in increases in advance care planning discussions with family members of residents living with dementia. The second paper is a clinical trial that tested the feasibility of Companion Robots in live-alone Korean-American older adults (N=30) to determine which features help improve health behaviors (e.g. medication adherence, daily exercises). The third paper is a single-site clinical trial pilot study developed with stakeholders which tested the feasibility of a palliative care community health worker support program for hospitalized minoritized persons living with dementia and their caregivers. The fourth paper adapts an evidence-based e-PainSupport intervention for use with dementia caregivers to report patient pain and administration of analgesics. The fifth paper is a protocol to test the feasibility and acceptability of a culturally sensitive caregiver peer support program (Pair2Care) in current (n=15) and trained former (n=15) African-American dementia caregivers. The discussant will highlight ways to improve clinical trial mechanisms.

Learning Objectives:

  • understand the differences between NIH stages (0-1) in the NIH Stage Model.
  • identify some key mechanisms used in early stage development clinical trials in dementia and palliative care.
  • describe the outcomes used in early stage development clinical trials in palliative and dementia care.

Presentations:

  • 12:00 PM – 1:30 PM ET
    An Educational Program in Assisted Living to Increase Staff Self-Efficacy in Provision of Dementia Palliative Care

    Individual Symposium Abstract First Author: Debra Dobbs, PhD (she/her/hers) – University of South Florida

  • 12:00 PM – 1:30 PM ET
    Effects of Companion Robots on Depression and Social Isolation Among Korean American Older Adults

    Individual Symposium Abstract First Author: Othelia Lee, PhD (she/her/hers) – University of North Carolina at Charlotte

  • 12:00 PM – 1:30 PM ET
    Co-Designing a Stage 1b Feasibility Study of Inpatient Palliative Community Health Worker Support

    Individual Symposium Abstract First Author: Jung Kwak, PhD, FGSA, MSW (she/her/hers) – University of Texas at Austin

  • 12:00 PM – 1:30 PM ET
    Barriers and Facilitators in Using the e-PainSupport Intervention for ADRD Patients and Caregivers

    Individual Symposium Abstract First Author: Masako Mayahara, PhD, RN (she/her/hers) – Washington University in St. Louis

  • 12:00 PM – 1:30 PM ET
    Peer Support for Caregivers of African Americans Living With Dementia: A Phase 1 Behavioral Intervention Protocol

    Individual Symposium Abstract First Author: Karen O. Moss, PhD, RN, CNL (she/her/hers) – The Ohio State University