Parkinson's Disease in Asian Americans

Recruiting

• Conditions: Parkinson's Disease
• Interventions: Other: Interviews and Surveys

• Registration Number: NCT05532982
• Lead Sponsor: Tufts University

Brief Summary

The ultimate goal of this project is to use the findings to develop culturally appropriate programs and resources that can be disseminated to key stakeholders to improve access to PD care and increase inclusivity in PD research for Asian Americans. This study will serve as a first step towards developing broader community and patient education programs and active outreach campaigns to increase PD-specific literacy among Asian Americans. The results from this study will elucidate the role that language barriers, cultural perceptions, family influence, and other predisposing, enabling, or need factors have on delaying care for PD among Asian Americans. It will also provide much needed insight on how to improve inclusion of Asian Americans in PD research studies.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2022-09-06
• Study First Submitted QC: 2022-09-06
• Study First Posted: 2022-09-08
• Study Start: 2022-10-15
• Status Verified: 2024-05
• Last Update Submitted: 2024-05-16
• Last Update Posted: 2024-05-20
• Primary Completion: 2024-11-30
• Study Completion: 2024-11-30

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 430

Inclusion Criteria

• Objective 1 (chart review):

  1. Chinese or Vietnamese ethnicity
  2. Age: 18 years of age or older
  3. Diagnosed or presented for PD care at the Tufts Medical Center (TMC) Movement Disorders Clinic (MDC) from January 1, 2010 to December 31, 2019.

• Objective 2 (qualitative study):

  1. Asian American person diagnosed with PD:

     1. Diagnosed with PD
     2. Chinese or Vietnamese ethnicity
     3. Age: 18 years of age or older
     4. Able to participate in an interview by phone or on Zoom
     5. Able to provide informed consent

  2. Primary caregivers of Asian American PD patients recruited into the study:

     1. Age: 18 years of age or older
     2. First-degree family member or spouse
     3. Self-identified as a primary caregiver of an Asian American person with PD
     4. Able to participate in an interview by phone or on Zoom
     5. Able to provide informed consent

  3. Clinicians:

     1. Any clinician (e.g. primary care provider, neurologist, resident, nurse, nurse practitioner, etc) that takes care of PD patients.
     2. Age: 18 years of age or older

  4. Key advocates in the Asian American community working specifically with the Asian elderly population.

     1. Employee or volunteer for a community-based organization working with the Asian elderly population (e.g. Greater Boston Chinese Golden Age Center, South Cove Manor, and Midtown Home Health Services) or other organizations working with PD patients and the elderly (e.g. Massachusetts Council on Aging and the Massachusetts Chapter of the American Parkinson's Disease Association)

     2. Age: 18 years of age or older

     3. Able to participate in a focus group discussion on Zoom

        Objective 3 (surveys of care partners of Asian American individuals with PD):

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  1. Chinese or Vietnamese ethnicity
  2. Primary care partner of a family member with Parkinson's Disease
  3. Age: 18 years of age or older
  4. Care partner or family member with Parkinson's Disease must be of Asian descent

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Exclusion Criteria

Objective 1:

1. Patients diagnosed with juvenile-onset Parkinson's Disease

Objective 2:

PD patients only:

1. Patients with juvenile-onset Parkinson's Disease
2. Patients diagnosed with dementia
3. Patients on medication for cognitive impairment, e.g., anti-psychotics, donepezil (Aricept), rivastigmine (Exelon), and galantamine (Razadyne)

No exclusion criteria for other stakeholder groups (caregivers, clinical providers, key community advocates).

Objective 3:

1. Patients with juvenile-onset Parkinson's Disease

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Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
Parkinson's disease patients	Interviews and Surveys	Parkinson's disease patients of Asian descent
Clinicians	Interviews and Surveys	Clinical providers of patients with Parkinson's disease, including physicians, nurses, nurse practitioners, physician assistants, physical therapists, etc.
Community stakeholders	Interviews and Surveys	Advocates for the Asian American community
Parkinson's disease patients' care-givers	Interviews and Surveys	Care partners of Parkinson's Disease patients of Asian descent

Primary Outcome Measures

Name	Time	Method
Delay in seeking care	November 2022 - August 2024	For the main outcome (delay in seeking care), the investigators will rely on self-report. Data obtained from Objectives 1 and 2 will be used to inform the development of a survey question (or a series of questions) that will capture this construct. The questionnaire will be piloted among a subgroup of participants recruited from the TMC MDC to calibrate the self-reported measure against data obtained from their medical records.

Trial Locations

Locations (1)

Tufts University School of Medicine; 🇺🇸 Boston, Massachusetts, United States