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A SAMHSA-funded project enhanced KAER through cognitive interviews, in-depth interviews, and document reviews with caregivers, a tribal provider, and a Native elder justice specialist. A dedicated CARES toolkit was created for AI/AN caregivers, adding language adaptations, tribe-specific resources, self-care, and case studies. Results support culturally relevant intervention development and may reduce ADRD disparities.",{"@graph":69,"@context":127},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/weaving-together-enhancing-kaer-to-optimize-conversations-between-providers-american-indian-family-caregivers/429062/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/weaving-together-enhancing-kaer-to-optimize-conversations-between-providers-american-indian-family-caregivers/429062.png","ImageObject",300,407,{"name":92,"@type":93},"acoobca","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-03","2026-09-29",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",13,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119,123],{"name":110,"@type":111,"acceptedAnswer":112},"What problem did the project address with KAER?","Question",{"text":113,"@type":114},"Preliminary conversations with members from a midwestern tribe showed cultural incongruence in KAER contents, creating barriers to effective dialogue about cognitive decline.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"How was the KAER model enhanced in this project?",{"text":118,"@type":114},"The research team engaged AI/AN community members, a tribal provider, and a Native American elder justice specialist, using cognitive interviews, in-depth interviews, and document reviews to refine KAER.",{"name":120,"@type":111,"acceptedAnswer":121},"What is the CARES toolkit and what does it include?",{"text":122,"@type":114},"CARES was developed for AI/AN caregivers to help them begin dementia conversations with providers. It includes communication modules, language modifications, tribe-specific community resources, self-care content, and case studies from caregivers.",{"name":124,"@type":111,"acceptedAnswer":125},"What future work is proposed after toolkit development?",{"text":126,"@type":114},"Future work is needed to test the adapted toolkit and validate its effectiveness for AI/AN caregivers and providers.","https://schema.org",{"og:url":83,"og:type":129,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":131,"canonical":83},"index,follow",{"doc_id":133,"site_id":62},429062,1791039527,{"code":4,"msg":5,"data":136},{"doc_id":133,"user_id":137,"nickname":92,"user_avatar":138,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":139,"file_id":140,"file_url":141,"file_type":142,"file_size":143,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":8,"language":144,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":145,"faqs":146,"seo_title":147,"seo_description":67,"update_tm":148,"read_time":81,"preview_page_count":4},3985747870733,"https://ap-avatar.wpscdn.com/davatar_a8503ba1806abce46bf441b54a3ca4cd","562 Innovation in Aging, 2025, Vol. 9, No. S2  \nAbstract citation ID: igaf122.1928  \nWEAVING TOGETHER: ENHANCING KAER TO OPTIMIZE CONVERSATIONS BETWEEN PROVIDERS & AMERICAN INDIAN FAMILY CAREGIVERS  \nMaria Donohoe1, Anne Helene Skinstad2, Sato Ashida1, and Lena Thompson3, 1. University of Iowa, Iowa City, Iowa, United States, 2. University of Iowa College of Public Health, Iowa City, Iowa, United States, 3. University of Alaska Fairbanks, Fairbanks, Alaska, United States  \nAmerican Indian and Alaska Native (AI/AN) populations experience higher rates of dementia than other racial/ethnic groups in the U.S. Toolkits such as Kickstart Assess Evaluate, and Refer (KAER) can help primary care providers start conversations with people experiencing cognitive decline and their families, facilitating dementia diagnosis and care. Yet, preliminary conversations with members from a midwestern tribe highlighted cultural incongruence in KAER contents. To conduct this SAMHSA-funded project to enhance the KAER model, the research team engaged two members from a Midwest Tribe who had cared for someone with dementia, one provider from the midwestern tribe, and a Native American Elder justice specialist. Participants completed cognitive interviews, in-depth interviews, and document reviews to enhance KAER. Along with enhancing KAER, the research team responded to participant feedback that a toolkit was needed for AI/AN caregivers to begin conversations with providers about dementia. The Communication Assess Review Essential referrals and Self-care (CARES) toolkit was developed for AI/AN caregivers. The CARES and enhanced KAER included mental and physical health topics, language modifications, Tribe-specific community resources, and a section on self-care. CARES and enhanced KAER also included case studies sharing experiences of caregivers from the midwestern tribe to provide support and examples to AI/AN caregivers and their providers. Enhancements to existing toolkits such as KAER can support AI/AN caregivers and reduce ADRD disparities. Including community members in early conversations and assessments can support community-engaged intervention enhancement by informing culturally relevant programs and tools. Future work to test the adapted toolkit is needed.","cbCaipbEJtAnc6IH","https://ap.wps.com/l/cbCaipbEJtAnc6IH","pdf",44591,"English","# Background\n# Project Methods\n# Toolkit Enhancements (KAER and CARES)\n# Outcomes and Future Work","[{\"question\":\"What problem did the project address with KAER?\",\"answer\":\"Preliminary conversations with members from a midwestern tribe showed cultural incongruence in KAER contents, creating barriers to effective dialogue about cognitive decline.\"},{\"question\":\"How was the KAER model enhanced in this project?\",\"answer\":\"The research team engaged AI/AN community members, a tribal provider, and a Native American elder justice specialist, using cognitive interviews, in-depth interviews, and document reviews to refine KAER.\"},{\"question\":\"What is the CARES toolkit and what does it include?\",\"answer\":\"CARES was developed for AI/AN caregivers to help them begin dementia conversations with providers. It includes communication modules, language modifications, tribe-specific community resources, self-care content, and case studies from caregivers.\"},{\"question\":\"What future work is proposed after toolkit development?\",\"answer\":\"Future work is needed to test the adapted toolkit and validate its effectiveness for AI/AN caregivers and providers.\"}]","WEAVING TOGETHER - Enhancing KAER to Optimize Conversations Between Providers & American Indian Family Caregivers | PDF",1790648480]