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The goal of this intervention trial is to evaluate the effectiveness the online training program Dementia Education and Resources for Action (DERA) in improving Alzheimer's disease and related dementia-(ADRD) knowledge, stigma, and service-related self-efficacy among community health workers (CHWs). We hypothesize that participants who have completed the DERA will have improved ADRD knowledge and self-efficacy in related service and reduced stigma against ADRD and people affected.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Immediate DERA Intervention | Experimental | Participants assigned to this arm will receive immediate access to the DERA online training program. The program is web-based platform and includes 7 structured modules on dementia knowledge, stigma reduction, and the role of community health workers in supporting individuals with dementia and their caregivers. |
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| Waitlist Control | No Intervention | Participants assigned to this arm will not receive access to the DERA program during the study period. They will complete baseline and post-intervention assessments over a similar timeframe as the intervention group. After completion of the post-intervention assessment, participants will be provided access to the DERA training program. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| DERA Online Training Program | Behavioral | The Dementia Education and Resources for Action (DERA) program is a structured, online training intervention designed for community health workers. The program consists of approximately 7 sessions delivered through a web-based platform. Content includes dementia fundamentals, early signs and risk factors, stigma reduction, and strategies for communication, support, and service navigation. The training incorporates video-based instruction, interactive materials, and quizzes to support learning and engagement. |
| Measure | Description | Time Frame |
|---|---|---|
| Dementia Knowledge | Dementia knowledge will be assessed using the Dementia Knowledge Assessment Scale (DKAS). The DKAS is a validated instrument that measures knowledge across multiple domains, including causes, symptoms, risk factors, and care considerations. DKAS-25 total score ranges from 0 to 50. Items are scored 0-2, with higher scores indicating greater dementia-related knowledge. | Baseline to post-intervention (approximately 6-8 weeks) |
| Measure | Description | Time Frame |
|---|---|---|
| Dementia-Related Stigma | Dementia-related stigma will be assessed using an adapted 8-item stigma scale with response options ranging from strongly disagree to strongly agree. Total scores range from 8 to 40, with higher scores indicating greater dementia-related stigma. | Baseline to post-intervention (approximately 6-8 weeks) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Alicia Hong | Contact | 7039931929 | yhong22@gmu.edu |
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Individual participant data will not be publicly shared due to privacy considerations. De-identified data may be made available upon reasonable request to the study investigators, subject to institutional review and data use agreements.
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| ID | Term |
|---|---|
| D000544 | Alzheimer Disease |
| D057545 | Social Stigma |
| ID | Term |
|---|---|
| D003704 | Dementia |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
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|
| Self-Efficacy in Dementia Care |
Self-efficacy will be measured using a study-specific Community Health Worker Dementia Role Self-Efficacy Scale assessing confidence in performing dementia-related tasks, including education, communication, support, and service navigation. Response options range from "Not at all confident" to "Extremely confident." Total scores range from 8 to 40, with higher scores indicating greater self-efficacy in dementia-related service delivery. |
| Baseline to post-intervention (approximately 6-8 weeks) |
| D024801 |
| Tauopathies |
| D019636 | Neurodegenerative Diseases |
| D019965 | Neurocognitive Disorders |
| D001523 | Mental Disorders |
| D012919 | Social Behavior |
| D001519 | Behavior |