{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,15]],"date-time":"2026-04-15T17:04:28Z","timestamp":1776272668463,"version":"3.50.1"},"reference-count":43,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,12,12]],"date-time":"2025-12-12T00:00:00Z","timestamp":1765497600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["R01AG055488"],"award-info":[{"award-number":["R01AG055488"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["agsjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Research has revealed dementia disparities among underserved older adults. Built upon standard\u2010Reducing Disability in Alzheimer's Disease (s\u2010RDAD), Innovations in Dementia Empowerment and Action (IDEA) is designed and culturally tailored for underserved communities through an empowerment stigma\u2010reduction cognitive\u2010behavioral intervention and tested with sexual and gender minority (SGM) adults and care partners.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The study is a 2\u2010arm (IDEA and s\u2010RDAD), single\u2010blind, randomized controlled trial (RCT) with a staggered multiple baseline design. With 161\u2009dyads (person living with dementia\/care partner), the aim of the study is to compare the two arms via between and within group differences on primary (physical activity) and secondary outcomes (e.g., quality of life, physical functioning, and resource literacy) at post\u2010treatment, and 30 and 56\u2009week follow\u2010up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      When comparing the two arm between\u2010group differences, the IDEA care partners' community resource literacy was significantly higher at 30\u2010week follow\u2010up than for s\u2010RDAD (contrast\u2009=\u20090.10,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.005). While both intervention arms demonstrated efficacy with significant improvement in physical activity (contrast\n                      <jats:sub>IDEA<\/jats:sub>\n                      \u2009=\u20090.10,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.010; contrast\n                      <jats:sub>s\u2010RDAD<\/jats:sub>\n                      \u2009=\u20090.14,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) and quality of life (contrast\n                      <jats:sub>IDEA<\/jats:sub>\n                      \u2009=\u20090.06,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001; contrast\n                      <jats:sub>s\u2010RDAD<\/jats:sub>\n                      \u2009=\u20090.03,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.035) for the person with dementia at post\u2010treatment, positive treatment effects on physical activity (contrast\n                      <jats:sub>IDEA<\/jats:sub>\n                      \u2009=\u20090.09,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.032) and quality of life (contrast\n                      <jats:sub>IDEA<\/jats:sub>\n                      \u2009=\u20090.03,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.040) persisted at 30\u2009weeks for IDEA but not for s\u2010RDAD.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>While both intervention arms were efficacious, IDEA demonstrated sustained efficacy. The cultural tailoring of interventions is promising to address disparities in dementia care and interventions in underserved communities. Future research is needed for the translation of this efficacious intervention to the larger community.<\/jats:p>\n                    <jats:p>Clinicaltrials.gov identifier: NCT03550131<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jgs.70189","type":"journal-article","created":{"date-parts":[[2025,12,13]],"date-time":"2025-12-13T01:44:09Z","timestamp":1765590249000},"page":"119-131","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Innovations in Dementia Empowerment and Action:\n                    <scp>RCT<\/scp>\n                    for Underserved Communities"],"prefix":"10.1111","volume":"74","author":[{"given":"Karen I.","family":"Fredriksen\u2010Goldsen","sequence":"first","affiliation":[{"name":"Goldsen Institute, School of Social Work University of Washington  Washington DC USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Linda","family":"Teri","sequence":"additional","affiliation":[{"name":"School of Nursing University of Washington  Washington DC USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hyun\u2010Jun","family":"Kim","sequence":"additional","affiliation":[{"name":"Goldsen Institute, School of Social Work University of Washington  Washington DC USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brittany","family":"Jones\u2010Cobb","sequence":"additional","affiliation":[{"name":"Goldsen Institute, School of Social Work University of Washington  Washington DC USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"LaFazia","sequence":"additional","affiliation":[{"name":"Goldsen Institute, School of Social Work University of Washington  Washington DC USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Glenise","family":"McKenzie","sequence":"additional","affiliation":[{"name":"School of Nursing Oregon Health &amp; Sciences University  Portland Oregon USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ryan","family":"Petros","sequence":"additional","affiliation":[{"name":"Goldsen Institute, School of Social Work University of Washington  Washington DC USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hailey","family":"Jung","sequence":"additional","affiliation":[{"name":"Goldsen Institute, School of Social Work University of Washington  Washington DC USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Austin G.","family":"Oswald","sequence":"additional","affiliation":[{"name":"Goldsen Institute, School of Social Work University of Washington  Washington DC USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Charles","family":"Hoy\u2010Ellis","sequence":"additional","affiliation":[{"name":"Goldsen Institute, School of Social Work University of Washington  Washington DC USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Charles","family":"Emlet","sequence":"additional","affiliation":[{"name":"Goldsen Institute, School of Social Work University of Washington  Washington DC USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,12,12]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/08982643211046466"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/trc2.12197"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/gnaa136"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.2105\/ajph.2022.306720"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/geronb\/gbad012"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.290.15.2015"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.23970\/AHRQEPCCER231"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1093\/aje\/kwab012"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/gnac112"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.3389\/FPSYG.2015.0138"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1037\/ort0000030"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1177\/08982643221108658"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1037\/0882\u20107974.7.4.622"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02982672"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cct.2023.107143"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.conctc.2023.101169"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.mayocp.2014.06.019"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1097\/WAD.0b013e3181e2fc84"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1212\/01.wnl.0000172958.95282.2a"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1093\/geronj\/37.3.323"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/gny122"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005650\u2010199303000\u201000006"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006842\u2010200205000\u201000016"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.1177\/2050312113514576"},{"key":"e_1_2_11_26_1","doi-asserted-by":"publisher","DOI":"10.2307\/2136404"},{"key":"e_1_2_11_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/0022-3956(75)90026-6"},{"key":"e_1_2_11_28_1","doi-asserted-by":"publisher","DOI":"10.1177\/1049731507309830"},{"key":"e_1_2_11_29_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.psy.0000239144.91689.ca"},{"key":"e_1_2_11_30_1","volume-title":"Stata Statistical Software: Release 16","author":"StataCorp","year":"2019"},{"key":"e_1_2_11_31_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2021.14364"},{"key":"e_1_2_11_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2021.102063"},{"key":"e_1_2_11_33_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2008.07.006"},{"key":"e_1_2_11_34_1","doi-asserted-by":"publisher","DOI":"10.1080\/15332985.2018.1476284"},{"key":"e_1_2_11_35_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10903\u2010019\u201000940\u20103"},{"key":"e_1_2_11_36_1","doi-asserted-by":"publisher","DOI":"10.3233\/JAD\u2010120814"},{"key":"e_1_2_11_37_1","doi-asserted-by":"publisher","DOI":"10.1037\/sgd0000552"},{"key":"e_1_2_11_38_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm12206468"},{"key":"e_1_2_11_39_1","doi-asserted-by":"publisher","DOI":"10.1177\/01640275231156191"},{"key":"e_1_2_11_40_1","doi-asserted-by":"publisher","DOI":"10.1177\/08982643211014767"},{"key":"e_1_2_11_41_1","volume-title":"Caregiving in the United States 2020","author":"AARP and National Alliance for Caregiving","year":"2020"},{"key":"e_1_2_11_42_1","doi-asserted-by":"publisher","DOI":"10.1111\/hsc.12854"},{"key":"e_1_2_11_43_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.166.10.1115"},{"key":"e_1_2_11_44_1","doi-asserted-by":"publisher","DOI":"10.2196\/26551"}],"container-title":["Journal of the American Geriatrics Society"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/agsjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jgs.70189","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,6]],"date-time":"2026-01-06T18:22:33Z","timestamp":1767723753000},"score":1,"resource":{"primary":{"URL":"https:\/\/agsjournals.onlinelibrary.wiley.com\/doi\/10.1111\/jgs.70189"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,12]]},"references-count":43,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1111\/jgs.70189"],"URL":"https:\/\/doi.org\/10.1111\/jgs.70189","archive":["Portico"],"relation":{},"ISSN":["0002-8614","1532-5415"],"issn-type":[{"value":"0002-8614","type":"print"},{"value":"1532-5415","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12,12]]},"assertion":[{"value":"2024-11-12","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-05-23","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-12-12","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}