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SOCIAL COGNITIVE FACTORS AFFECTING THE HEALTH OF ELDERS

影响老年人健康的社会认知因素

基本信息

批准号：
2758844
负责人：
JACLENE A ZAUSZNIEWSKI
金额：
$ 7.34万
依托单位：
CASE WESTERN RESERVE UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
1998
资助国家：
美国
起止时间：
1998-09-30 至 1999-09-29
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/2758844
关键词：
aging behavioral /social science research tag choice chronic disease /disorder clinical research cognition functional ability geriatric nursing health behavior human old age (65+) human subject interview psychological models self help social psychology social support network

项目摘要

The proposed study, which addresses the research priority area of social psychology of aging (number 13), will be conducted by Dr. Jaclene A. Zauszniewski, an established investigator who is not currently funded for research in this area. The study will examine relationships among learned resourcefulness, health self-determinism, and help responses (self-help, informal help seeking, and formal help-seeking) and determine the effects of the three help responses on the physical and psychosocial health of chronically ill elders in assisted living facilities. Though research has found that elders who use both self- help and help-seeking strategies, reported better psychological well- being and physical functioning than elders who did not use self-help and help-seeking strategies or used only one of these strategies, the effects of social cognitive factors such as a repertoire of enabling skills (learned resourcefulness) and internal motivation for health (self-determinism) on the elder's use of self-help or help-seeking skills remain unknown. Learned resourcefulness and health self- determinism are expected to be significantly related to the elder's physical and psychosocial health through the choices they make to help themselves or seek help from formal or informal sources. If so, then health promotion programs for chronically ill elders that incorporate cognitive-behavioral interventions to enhance these factors will improve their self-management and thus their physical and psychosocial health. The study will test hypotheses based on the linkages proposed in Norman and Conner's five-stage social cognitive model for predicting health. Accordingly, the study will examine whether the physical and psychosocial health of chronically ill elders is related to demographics (race, gender), situational factors (chronic conditions, social networks learned resourcefulness, health self-determinism, and help responses when entered in successive steps that reflect the social cognitive model for predicting health. The hypotheses will be examined in a cross- sectional study of a stratified random sample of 120 residents of assisted living facilities with equal size subgroups defined by gender and race (African America, and Caucasian). Using a structured interview, measures of demographic and situational variables and established measures of learned resourcefulness, health-self-determinism, help responses, and health will be used. Multiple regression will be used for data analysis. This project will focus on the social cognitive factors that influence self-help and informal and formal help-seeking responses of elders with chronic conditions. As such, it will form the basis of a subsequent study to test the effectiveness of tailoring interventions that promote optimal physical and psychosocial health of chronically ill elders.

拟议的研究，其中涉及的研究优先领域的社会老化心理学（第13号），将由博士进行。 Zauszniewski是一位知名的调查员，目前没有资金支持在这个领域的研究。该研究将探讨以下方面之间的关系：学会了足智多谋，健康自我决定，并帮助响应（自助、非正式求助和正式求助）确定三种帮助反应对身体的影响，长期病患者在辅助生活中的心理社会健康设施尽管研究发现，同时使用自我- 帮助和寻求帮助的策略，报告更好的心理以及- 比那些不使用自助的老年人，寻求帮助的策略或只使用其中一种策略，社会认知因素的影响，如一个剧目，使技能（学习到的足智多谋）和健康的内在动力（自我决定论）关于老年人使用自助或求助技能仍然未知。学会了足智多谋和健康的自我- 决定论预计将显着相关的老年人的身体和心理健康，通过他们做出的选择，或寻求正式或非正式渠道的帮助。如果是这样，那么针对慢性病长者的健康促进计划，认知行为干预，以提高这些因素将改善他们的自我管理，从而他们的身体和心理健康。这项研究将测试假设的基础上提出的联系诺曼和康纳预测健康的五阶段社会认知模型。因此，该研究将审查是否物理和老年慢性病患者的心理社会健康与人口统计学因素有关 (race、性别）、情境因素（慢性病、社交网络学会了足智多谋，健康自我决定，并帮助响应当进入反映社会认知模型的连续步骤时，来预测健康状况。这些假设将在一个交叉- 采用分层随机抽样方法，对120名北京市城区居民进行了横断面研究。按性别划分的同等规模的辅助生活设施和种族（非洲裔美国人和高加索人）。使用结构化面试，人口和情况变量的衡量标准，学习机智的措施，健康自我决定，帮助将使用响应和健康。将使用多元回归用于数据分析。该项目将侧重于社会认知影响自助、非正式和正式求助的因素患有慢性病的长者的反应。因此，它将形成随后的研究的基础，以测试剪裁的有效性促进最佳身心健康的干预措施长期患病的老人。