Encouraging Cognitive Screenings at African American Churches

Healthy Clinical Trial

Official title:

A Church-based Intervention for Increasing Screening for Dementia Among African American Older Adults (ADC Pilot): Project Grace

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05037578
• Other study ID #: 2017382 KC
• Status: Completed
• Phase: Phase 1
• Start date: July 1, 2019
• Est. completion date: June 30, 2021

Study information

• Verified date: May 2023
• Source: University of Kansas Medical Center
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial 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.

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 linkage to care 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 linkage to care 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.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 99
• Est. completion date: June 30, 2021
• Est. primary completion date: June 19, 2021
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 55 Years and older

Eligibility

Inclusion Criteria:

1. Age =55

2. Regular church member (attending church > monthly) or community member receiving church outreach services (>3 times annually)

3. Willing to participate in two surveys (baseline and 4 months)

4. Willing to provide contact information for at least 2 other persons

5. Residing in the Kansas City metropolitan area

6. Provide a working contact email address or number

Exclusion Criteria:

• None

Related Conditions & MeSH terms

• Dementia
• Healthy

Intervention

Behavioral:
• Project Grace
A multilevel church-based intervention to encourage cognitive screens and brain health.

Locations

Country	Name	City	State
United States	School of Medicine, UMKC	Kansas City	Missouri

Sponsors (2)

Lead Sponsor	Collaborator
University of Kansas Medical Center	University of Missouri, Kansas City

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Number of Participants Who Received a Cognitive Screening	Question at 4 months from baseline asking whether the participant has received a cognitive screening within the last 4 months	4 months from baseline
Primary	Number of Participants Who Were Linked to Care Services	Question at 4 months from baseline asking whether the participant has received a linkage to care services within the last 4 months	4 months from baseline