{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T07:43:33Z","timestamp":1792568613350,"version":"4.5.0"},"reference-count":0,"publisher":"Oxford University Press (OUP)","license":[{"start":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T00:00:00Z","timestamp":1792540800000},"content-version":"am","delay-in-days":1,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and Objectives<\/jats:title>\n                    <jats:p>This study evaluated the IHSS+ ADRD Training Project, a multilingual intervention for caregivers serving individuals living with Alzheimer\u2019s disease and related dementias (ADRD) through California\u2019s In-Home Supportive Services (IHSS) program, using the RE-AIM (Reach, Effectiveness, Adoption, Implementation, Maintenance) framework.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Research Design and Methods<\/jats:title>\n                    <jats:p>A quasi-experimental, mixed-methods evaluation was conducted from July 2019 to June 2024 across Alameda and Los Angeles counties. By applying the RE-AIM framework, Reach and Effectiveness dimensions were assessed through surveys completed by 488 caregivers in English (n\u2009=\u2009297), Spanish (n\u2009=\u2009102), and Chinese (n\u2009=\u200989) at pre-training, post-training, and 3-month follow-up. Caregivers were diverse among English speakers (38% Black\/African American, 23% Hispanic\/Latino, and 20% Asian), averaged 49.9 years old, and were predominantly women (88%). Quantitative measures assessed dementia knowledge, self-efficacy, distress, and depression. Qualitative interviews with stakeholders (n\u2009=\u200911) and open-ended caregiver survey responses explored Adoption, Implementation, and Maintenance dimensions<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>RE-AIM findings demonstrated: Reach across diverse caregiver populations in multilingual formats; Effectiveness with significant improvements in dementia knowledge and self-efficacy sustained at 3-month follow-up, plus 88-99% satisfaction; Adoption facilitated by union partnership; Implementation successfully transitioned to virtual delivery during COVID-19 despite technology barriers; and Maintenance supported by increased caregiver confidence, self-care awareness, and stress management skills, though sustainability required ongoing funding.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion and Implications<\/jats:title>\n                    <jats:p>Language-concordant training produced meaningful, sustained improvements across a diverse paid caregiver workforce, demonstrating its value as an equity strategy in home care workforce development. While virtual delivery was feasible and cost-effective, long-term success depends on securing dedicated funding and reliable technology infrastructure.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/geront\/gnag243","type":"journal-article","created":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T11:45:36Z","timestamp":1792496736000},"source":"Crossref","is-referenced-by-count":0,"title":["Multilingual Dementia Training for Paid Caregivers: A RE-AIM Mixed-Methods Evaluation"],"prefix":"10.1093","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4826-6583","authenticated-orcid":false,"given":"Jarmin","family":"Yeh","sequence":"first","affiliation":[{"name":"University of California Institute for Health & Aging, Department of Social & Behavioral Sciences, School of Nursing, , San Francisco. 490 Illinois Street, Box 0646, San Francisco, CA, 94143,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6098-4695","authenticated-orcid":false,"given":"Brittney","family":"Pond","sequence":"additional","affiliation":[{"name":"Sandhills Community College, North Carolina; Sandhills Community College , School of Creative and Liberal Arts, Pinehurst, NC, 28374,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew","family":"Beld","sequence":"additional","affiliation":[{"name":"University of California Institute for Health & Aging, School of Nursing, , San Francisco. 490 Illinois Street, Box 0646, San Francisco, CA, 94143"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suzanna M","family":"Martinez","sequence":"additional","affiliation":[{"name":"University of California Department of Biostatistics and Epidemiology, , San Francisco. 550 16th Street, #2556, San Francisco, CA, 94156,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kattia Suarez","family":"Vargas","sequence":"additional","affiliation":[{"name":"University of California Institute for Health & Aging, School of Nursing, , San Francisco. 490 Illinois Street, Box 0646, San Francisco, CA, 94143,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melinda","family":"Neri","sequence":"additional","affiliation":[{"name":"University of California Department of Social & Behavioral Sciences, School of Nursing, , San Francisco. 490 Illinois Street, Box 0612, San Francisco, CA, 94143,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,10,20]]},"container-title":["The Gerontologist"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/gerontologist\/advance-article-pdf\/doi\/10.1093\/geront\/gnag243\/72201402\/gnag243.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/gerontologist\/advance-article-pdf\/doi\/10.1093\/geront\/gnag243\/72201402\/gnag243.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T07:26:11Z","timestamp":1792567571000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/gerontologist\/advance-article\/doi\/10.1093\/geront\/gnag243\/8956107"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,20]]},"references-count":0,"URL":"https:\/\/doi.org\/10.1093\/geront\/gnag243","relation":{},"ISSN":["0016-9013","1758-5341"],"issn-type":[{"value":"0016-9013","type":"print"},{"value":"1758-5341","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,20]]},"article-number":"gnag243"}}