?url_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Adc&rft.relation=http%3A%2F%2Fd-scholarship-dev.library.pitt.edu%2F20725%2F&rft.title=Concordance+of+race%2Fethnicity+of+interventionists+and+caregivers+of+dementia+patients%3A+relationship+to+study+outcomes&rft.creator=McGinnis%2C+Kathleen&rft.description=Purpose%3A+To+assess+the+effects+of+racial%2Fethnic+concordance+between+caregivers+and+interventionists+on+several+study+outcomes+in+a+multisite+randomized+clinical+trial+with+racially%2Fethnically+diverse+caregivers+and+interventionists.+%0D%0ADesign+and+Methods%3A+Family+caregivers+of+patients+with+Alzheimer%E2%80%99s+disease+were+randomized+to+intervention+or+control+groups+at+5+sites+from+2002+to+2004.+Interventionists+provided+tailored+multicomponent+interventions+aimed+at+improving+quality+of+life+in+3+racial%2Fethnic+caregiver+groups.+This+analysis+included+the+323+caregivers+assigned+to+the+intervention+group+and+a+subgroup+of+those+who+received+at+least+one+face-to-face+intervention.+To+examine+the+relationship+of+concordance+with+outcomes%2C+the+following+outcomes+were+modeled+using+random+effects+logistic+and+linear+mixed+models%2C+as+appropriate%3A+loss+to+follow-up%2C+mean+changes+in+burden%2C+problems%2C+depression%2C+and+social+support%2C+number+of+sessions+attended%2C+and+satisfaction+with+the+study.+The+main+models+included+the+covariates+concordance%2C+caregiver+gender%2F+race%2Fethnicity%2C+and+interventionist+race%2Fethnicity+and+interventionist+was+specified+as+the+random+effect.+%0D%0AResults%3A+White+caregivers+were+more+likely+to+have+at+least+one+face-to-face+intervention+than+African-American+or+Hispanic+caregivers.+Of+those+who+received+a+face-to-face+intervention%2C+concordance+was+not+statistically+significantly+associated+with+any+of+the+outcomes+examined.+There+were+some+differences+in+outcomes+by+caregiver+gender%2Frace%2Fethnicity.+Based+on+the+main+multivariate+model%2C+mean+change+in+problems+was+statistically+significantly+greater+(worse)+for+African-American+men+than+for+white+women+(p%3D.010)%2C+African-American+women+(p%3D.03)%2C+white+men+(p%3D.004)%2C+Latina+women+(p%3D.002)%2C+and+Latino+men+(p%3D.004).+African-American+men+and+Latino%2Fa+men+and+women+were+more+likely+to+report+higher+satisfaction+with+the+study+compared+to+white+men+and+women+and+African-American+women.+%0D%0AConclusions%3A+No+overall+differences+were+found+in+outcomes+by+racial%2Fethnic+concordance+between+caregivers+and+interventionists.+Out+of+the+seven+outcomes%2C+we+found+a+difference+by+race%2Fethnicity+for+only+two+outcomes.+Problems+became+worse+for+African-American+males+compared+to+African-American+females+and+white+males+and+females+and+satisfaction+was+higher+for+African-American+males+compared+to+African-American+women+and+white+men+and+women.++Research+studies+need+to+continue+to+address+the+disparity+in+outcomes+by+participant+race%2Fethnicity.%0D%0APublic+Health+Significance%3A+To+eliminate+racial%2Fethnic+disparities+in+health%2C+these+disparities+also+need+to+be+evaluated+and+eliminated+in+health+research+settings.++++%0D%0A&rft.date=2014-06-27&rft.type=University+of+Pittsburgh+ETD&rft.type=PeerReviewed&rft.format=application%2Fpdf&rft.language=en&rft.identifier=http%3A%2F%2Fd-scholarship-dev.library.pitt.edu%2F20725%2F1%2FMcGinnis_Diss_April2014.pdf&rft.identifier=++McGinnis%2C+Kathleen++(2014)+Concordance+of+race%2Fethnicity+of+interventionists+and+caregivers+of+dementia+patients%3A+relationship+to+study+outcomes.++Doctoral+Dissertation%2C+University+of+Pittsburgh.++++(Unpublished)++