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Racial Differences in Program Evaluation of a Lifestyle Physical Activity Randomized Controlled Trial
Fawn A Cothran1, Olimpia Paun2, Carol J Farran3
1Adult Health and Gerontological Nursing, Rush University College of Nursing, Chicago, IL, USA Fawn_Cothran@rush.edu.
Western Journal of Nursing Research
|April 24, 2016
Summary
African American caregivers reported more favorable evaluations of a lifestyle physical activity trial compared to Caucasian caregivers. Findings highlight the importance of resources and support for diverse participants in intervention research.
Area of Science:
- Gerontology
- Public Health
- Behavioral Science
Background:
- Alzheimer's disease and related dementias (ADRD) disproportionately affect minority populations.
- Caregiver well-being is crucial for patient outcomes in ADRD care.
- Understanding diverse caregiver perspectives in health interventions is essential.
Purpose of the Study:
- To compare program evaluation responses between African American and Caucasian caregivers of persons with ADRD.
- To determine if African American caregivers evaluated a lifestyle physical activity intervention differently than Caucasian caregivers.
- To identify qualitative themes influencing caregiver evaluations.
Main Methods:
- A 12-month lifestyle physical activity randomized controlled trial involving 211 family caregivers.
- Random assignment to either a physical activity intervention or a control group.
- Post-intervention evaluation using an 11-item Likert-scale questionnaire and open-ended questions (n=114).
Main Results:
- African American caregivers provided more favorable evaluations of both intervention and control conditions compared to Caucasian caregivers (p = .02).
- Qualitative analysis of narrative responses revealed five key themes: support, resources, responsibility, adjusting, and time.
- These themes underscore the significance of practical and emotional support systems.
Conclusions:
- Intervention research should prioritize accessible resources and robust support systems for African American caregivers.
- Tailoring interventions to address the unique needs and experiences of diverse caregiver populations can enhance engagement and satisfaction.
- Positive caregiver evaluations are linked to perceived support and resource availability.
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