Purpose: The primary aim of this study was to test the stress process model (SPM; Pearlin, Mullan, Semple, & Skaff, 1990) in a racially diverse sample of Alzheimer's caregivers (CGs) using structural equation modeling (SEM) and regression techniques. A secondary aim was to examine race or ethnicity as a moderator of the relation between latent…

Surveyed nine Consortium to Establish a Registry for Alzheimer's Disease (CERAD) sites to identify barriers to recruiting African-American subjects. Major cited obstacles were expenses, transportation difficulties, and especially lack of rapport with clinic staff. CERAD efforts to increase community awareness of Alzheimer's disease and staff…

Alzheimer's disease caregiver support groups were developed simultaneously in two cities with existing Alzheimer's disease support groups but without ethnic minority use. "Ethic competence" concept, featuring ethnographic methods, was applied in African-American and Hispanic communities in both sites. In 2 years, 114 ethnic minority primary…

Describes the demographic features and clinical diagnoses in a sample of 58 demented urban black outpatients. Results indicate that probable Alzheimer's disease was the most common cause of dementia whereas probable vascular dementia was uncommon. A multiple etiology dementia was identified in more than one-third of the patients. (RJM)

Using a social antecedent model of psychopathology, three samples (African Americans, African Caribbeans, Caucasians) were compared. Symptoms of depression, psychoses, and agitation among nursing home patients were studied. Although there were appreciable interracial differences in sociodemographics, there were minimal clinical differences and no…

Describes a unified, statewide effort to increase outreach activities targeted to ethnic minority families with a demented relative. Provides data demonstrating the effectiveness of these programs. (SNR)

Using a conceptual stress development model that treats informal supports and competency as potential mediators, examined outcomes of caregiving in samples of black and white caregivers. A perceived lack of informal supports and a sense of incompetency exacerbated stress among black caregivers but had no effects among the white caregivers. (RJM)

Family caregivers of patients with Alzheimer's disease (AD) commonly have high levels of psychological distress. Black caregivers often report less depression than white caregivers, but the process underlying this difference is poorly understood. With the use of a stress process model, 123 white and 74 black family caregivers of patients with AD…

This document presents the personal narratives of 19 participants in the National Fellowship/Leadership program. In their narratives, the Kellogg fellows recount their experiences developing leadership knowledge, skills, and competencies while addressing human, societal, and community issues. The following papers are included: "Preface"…

Although this training manual was developed as a tool for trainers of African American and rural family caregivers of elders with dementia, it can easily be adapted for trainers of caregivers (both formal and informal) of persons other than those with dementia. The first section educates potential trainers about dementia, rural issues, ethnic…

This Replication Plan describes an Administration on Aging funded Project, "Assisting Caregivers of Black and Rural Elders with Dementia: Progressive Training through Trusted Resources." The project directly developed the capacities of trusted community leaders (n=69) who served as trainers of African American and rural family caregivers…

A program was developed in Virginia to train Black and rural family caregivers of persons with dementia, particularly Alzheimer's disease. This final program report begins with project briefs that summarize major products and findings, program objectives and accomplishments, and dissemination activities. Chapter 1 addresses issues related to…

Papers in these proceedings are organized into four sections: (1) Research Studies in Aging; (2) Innovative Approaches in Geriatric Education; (3) Faculty Development Models; and (4) "The Publication Process: Perils and Pearls" (Workshop). Clinical Experiences: Design Not Chance" (Matzo); "The Development of a Collaborative Gerontological Research…