PROJECT SUMMARY/ABSTRACT Two thirds of people with dementia and their caregivers are women. Studies have focused predominantly on white dementia caregivers, consistently showing higher rates of burden among women caregivers compared with men. Although women caregivers often rely on men (brothers, husbands, fathers) for support for themselves and their loved one living with dementia, little is known about how these relationships work, especially in African American/Black (AA/B) families. The CommunityRx-Dementia (CRx-D) intervention supports caregivers of people with dementia using evidence-based algorithms to systematically match people to nearby community resources for wellness, self-care and caregiving. The active parent award R01AG064949 supports a single-blind randomized controlled clinical trial to: (1) Among caregivers with unmet health-related social needs, evaluate the effects of CRx-D versus usual care on caregiver self-efficacy and secondary psychosocial and behavioral outcomes, as well as health and healthcare utilization; (2) Evaluate acceptability of the intervention and the effects of CRx-D versus usual care on the health care experience and likelihood of sharing community resource information with others; and (3) Qualitatively assess caregivers' experiences with the CRx-D intervention; the role of stigma in disclosing needs and accessing resources; and experiences sharing resource information with others. Within the scope and to increase the impact of the parent award, the proposed supplemental research will address three specific aims: (1) Examine gender differences among AA/B caregivers, especially in timely and under-studied domains targeted by the CRx-D trial, including caregiving self-efficacy, knowledge and use of community resources and how these factors relate to important health conditions including caregiving burden, depression and stress; (2) Assess gender differences in experiences with the CRx-D intervention, the role of stigma in disclosing needs and accessing resources, and experiences sharing resource information with others; and (3) Assess caregiver support networks, particularly the effects on women caregivers of caregiving support provided and procured by male family and friends, gender differences in caregiver coping mechanisms, and familial gender roles related to caregiving. This study will expand our data collection activities within the framework of the original trial to examine gender roles influencing caregiver responsibilities and well-being in a predominantly AA/B population of dementia caregivers. Insights generated by this work will be used to increase the overall impact of the parent project, fill major knowledge gaps about gender differences among dementia caregivers, and inform future intervention design and delivery. This proposal addresses Objective 1.3 of the Trans-NIH Strategic Plan for Women's Health Research by evaluating the effects of caregiving exposure on women's health and well-being usin...