Enhancing dementia caregiver self-efficacy through culturally tailored, video-based education for Hispanic caregivers: A quality-improvement project

BACKGROUND: Family caregivers of persons living with Alzheimer's disease and related dementias experience significant psychological and physical burden. Hispanic caregivers face additional challenges, including language barriers and limited access to culturally appropriate educational resources. LOCAL PROBLEM: In a primary care clinic in Los Angeles, Hispanic dementia caregivers had limited access to culturally tailored education, contributing to low caregiver self-efficacy and ongoing caregiver burden. METHODS: This quality-improvement project used a pre-post design over 8 weeks. Hispanic caregivers of persons living with dementia were recruited during routine clinic visits. Caregiver self-efficacy and burden were measured using the Revised Scale for Caregiving Self-Efficacy and the Zarit Burden Interview at baseline and 4 weeks post-intervention. INTERVENTIONS: Participants attended a 1-hour, nurse practitioner-led session featuring culturally adapted, Spanish-language dementia education videos. Caregivers also received printed materials with QR codes for continued access to the videos at home. RESULTS: Eight caregivers completed pre- and post-intervention assessments. Self-efficacy scores improved following the intervention, whereas caregiver burden scores showed minimal change at 4-week follow-up. CONCLUSION: A culturally tailored, video-based education program was feasible and improved caregiver self-efficacy among Hispanic caregivers. Integrating culturally responsive education into primary care may enhance caregiver support and dementia care in underserved populations.