Advance Care Planning among Midlife and Older Adult Sexual Minority Men

中年和老年性少数男性的预先护理计划

基本信息

  • 批准号:
    10179295
  • 负责人:
  • 金额:
    $ 9.06万
  • 依托单位:
  • 依托单位国家:
    美国
  • 项目类别:
  • 财政年份:
    2020
  • 资助国家:
    美国
  • 起止时间:
    2020-06-15 至 2024-03-31
  • 项目状态:
    已结题

项目摘要

Project Summary. In times of serious illness or at the end of life, many Americans receive unwanted care, including life- prolonging and painful interventions, and die in institutional settings. Advance care planning (ACP) permits individuals to communicate their preferences should they become unable to make decisions regarding their own medical care due to physical, cognitive, and/or communicative impairments. ACP improves the concordance between persons’ wishes and the care they receive, and increasing the utilization of ACP can yield benefits to patients, kin and families, and the health care system. Very little is known regarding ACP disparities and predictors among midlife and older adult gay, bisexual, and other men who have sex with men (GBMSM). Existing ACP research has numerous gaps, and GBMSM have distinct life experiences that limit generalizing from existing data regarding ACP behaviors in the general population. It is not known whether there are disparities in ACP across sociodemographic groups such as race, ethnicity, and socioeconomic status among GBMSM. There is also a need to identify psychosocial factors that may influence ACP behaviors among GBMSM. This research will examine formal and informal dimensions of two ACP behaviors (health care proxy, advance directives) using secondary data analyses from the Multicenter AIDS Cohort Study, a longitudinal study of GBMSM with extensive data on sociodemographics, health and health care, and psychosocial factors. The specific aims are to 1) Describe the types and extent of advance care planning (ACP) among midlife and older adult GBMSM, and assess potential disparities across sociodemographic groups; 2) Assess differences in the prevalence of ACP across longitudinal health indicators, and longitudinal health care access and utilization; and 3) Test associations between psychosocial factors and ACP, and whether these associations differ across HIV serostatus groups. This research is critical to understanding ACP among older GBMSM, developing culturally-appropriate models of ACP, and addressing within-group disparities. Improving rates of ACP among GBMSM supports high quality care that is concordant with patients’ wishes during severe illness or at the end of life. These findings will also move the broader field of ACP research forward by virtue of examining factors that are understudied in ACP research more generally (e.g., psychosocial factors).
项目摘要。 在严重疾病或生命结束时,许多美国人接受不必要的护理,包括生命- 长期和痛苦的干预,并在机构环境中死亡。预先护理计划(ACP)许可证 个人沟通他们的喜好,如果他们成为无法作出决定, 由于身体、认知和/或沟通障碍而需要自己的医疗护理。ACP改善了 人的愿望和他们所接受的护理之间的一致性,以及增加ACP的使用, 为病人、亲属和家庭以及卫生保健系统带来好处。对ACP了解甚少 中年和老年男同性恋、双性恋和其他男男性行为者之间的差异和预测因素 (GBMSM)。现有的ACP研究有许多空白,GBMSM有独特的生活经历,限制了 从现有的数据中概括出一般人群中的ACP行为。目前还不知道是否 ACP在不同的社会人口群体中存在差异,如种族、民族和社会经济 GBMSM的状态。还需要确定可能影响ACP行为的心理社会因素 在GBMSM中。本研究将探讨两种ACP行为(医疗保健)的正式和非正式维度 代理人,预先指示)使用多中心艾滋病队列研究的二级数据分析, GBMSM的纵向研究,包括社会人口统计学、健康和医疗保健方面的广泛数据,以及 心理社会因素。具体目标是:1)描述预先护理计划的类型和程度 (ACP)在中年和老年GBMSM中,并评估社会人口统计学中的潜在差异 2)评估ACP患病率在纵向健康指标中的差异, 卫生保健的获得和利用;和3)测试心理社会因素和ACP之间的关联, 这些关联是否在HIV血清状态组之间存在差异。这项研究对了解ACP至关重要 在年龄较大的GBMSM中,开发适合文化的ACP模型,并解决组内 差距。GBMSM中ACP发生率的提高支持了与患者需求一致的高质量护理 在重病期间或生命结束时的愿望。这些发现也将推动更广泛的领域的非加太 通过检查在ACP研究中更普遍地未充分研究的因素(例如, 社会心理因素)。

项目成果

期刊论文数量(1)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)

数据更新时间:{{ journalArticles.updateTime }}

{{ item.title }}
{{ item.translation_title }}
  • DOI:
    {{ item.doi }}
  • 发表时间:
    {{ item.publish_year }}
  • 期刊:
  • 影响因子:
    {{ item.factor }}
  • 作者:
    {{ item.authors }}
  • 通讯作者:
    {{ item.author }}

数据更新时间:{{ journalArticles.updateTime }}

{{ item.title }}
  • 作者:
    {{ item.author }}

数据更新时间:{{ monograph.updateTime }}

{{ item.title }}
  • 作者:
    {{ item.author }}

数据更新时间:{{ sciAawards.updateTime }}

{{ item.title }}
  • 作者:
    {{ item.author }}

数据更新时间:{{ conferencePapers.updateTime }}

{{ item.title }}
  • 作者:
    {{ item.author }}

数据更新时间:{{ patent.updateTime }}

Daniel Siconolfi其他文献

Daniel Siconolfi的其他文献

{{ item.title }}
{{ item.translation_title }}
  • DOI:
    {{ item.doi }}
  • 发表时间:
    {{ item.publish_year }}
  • 期刊:
  • 影响因子:
    {{ item.factor }}
  • 作者:
    {{ item.authors }}
  • 通讯作者:
    {{ item.author }}

{{ truncateString('Daniel Siconolfi', 18)}}的其他基金

Integrating Smoking Cessation in Tattoo Aftercare
将戒烟融入纹身后护理中
  • 批准号:
    10452217
  • 财政年份:
    2022
  • 资助金额:
    $ 9.06万
  • 项目类别:
Integrating Smoking Cessation in Tattoo Aftercare
将戒烟融入纹身后护理中
  • 批准号:
    10670838
  • 财政年份:
    2022
  • 资助金额:
    $ 9.06万
  • 项目类别:
Advance Care Planning among Midlife and Older Adult Sexual Minority Men
中年和老年性少数男性的预先护理计划
  • 批准号:
    10012147
  • 财政年份:
    2020
  • 资助金额:
    $ 9.06万
  • 项目类别:

相似海外基金

Understanding communication about advance care planning across the lifespan
了解有关整个生命周期预先护理计划的沟通
  • 批准号:
    DP240100072
  • 财政年份:
    2024
  • 资助金额:
    $ 9.06万
  • 项目类别:
    Discovery Projects
International research on advance care planning and palliative care approach for persons with dementia and family caregivers
关于痴呆症患者和家庭护理人员的预先护理计划和姑息治疗方法的国际研究
  • 批准号:
    22KK0258
  • 财政年份:
    2023
  • 资助金额:
    $ 9.06万
  • 项目类别:
    Fund for the Promotion of Joint International Research (Fostering Joint International Research (A))
Meeting the Challenges of COVID-19 by Expanding the Reach of Palliative Care: Proactive Advance Care Planning with Videos for the Elderly and all Patients with Dementia
通过扩大姑息治疗的范围来应对 COVID-19 的挑战:为老年人和所有痴呆症患者提供视频的主动预先护理计划
  • 批准号:
    10784057
  • 财政年份:
    2023
  • 资助金额:
    $ 9.06万
  • 项目类别:
Implementing Advance Care Planning as a Healthy Aging Activity in Rural Primary Care
在农村初级保健中实施预先护理计划作为健康老龄化活动
  • 批准号:
    10557515
  • 财政年份:
    2023
  • 资助金额:
    $ 9.06万
  • 项目类别:
心不全 Advance Care Planning外来の有効性の検討
检查心力衰竭预先护理计划门诊服务的有效性
  • 批准号:
    23K09926
  • 财政年份:
    2023
  • 资助金额:
    $ 9.06万
  • 项目类别:
    Grant-in-Aid for Scientific Research (C)
Mentoring Researchers in Advance Care Planning for Underrepresented Older Adults at Risk for Alzheimer’s Disease and Related Dementias and Their Caregivers
指导研究人员为面临阿尔茨海默病和相关痴呆症风险的代表性不足的老年人及其护理人员进行预先护理计划
  • 批准号:
    10587383
  • 财政年份:
    2023
  • 资助金额:
    $ 9.06万
  • 项目类别:
Facilitating Advance Care Planning Discussions Between Patients with Advanced Cancer and Their Family Caregivers Using a Resilience-Building Intervention
使用增强复原力的干预措施促进晚期癌症患者及其家庭护理人员之间的预先护理计划讨论
  • 批准号:
    10661890
  • 财政年份:
    2023
  • 资助金额:
    $ 9.06万
  • 项目类别:
Empowering Formerly Homeless Older Adults to Engage in Advance Care Planning in Permanent Supportive Housing (ACP-PSH): An RCT
帮助以前无家可归的老年人参与永久支持性住房中的预先护理计划 (ACP-PSH):一项随机对照试验
  • 批准号:
    10639204
  • 财政年份:
    2023
  • 资助金额:
    $ 9.06万
  • 项目类别:
Exploring the influence of ethnic background, culture and faith on perceptions towards advance care planning conversations with British Muslim communi
探索种族背景、文化和信仰对与英国穆斯林社区的预先护理计划对话的看法的影响
  • 批准号:
    2886796
  • 财政年份:
    2023
  • 资助金额:
    $ 9.06万
  • 项目类别:
    Studentship
Improving Primary Care Clinicians' Advance Care Planning for Alzheimer's Disease and Related Dementias
改善初级保健临床医生针对阿尔茨海默病和相关痴呆症的预先护理计划
  • 批准号:
    10738376
  • 财政年份:
    2023
  • 资助金额:
    $ 9.06万
  • 项目类别:
{{ showInfoDetail.title }}

作者:{{ showInfoDetail.author }}

知道了