MEASURING SYMPTOM SELF-CARE IN 3 RACIAL/ETHNIC GROUPS

这项分两个阶段的研究将开发和评估心理测量学 一种与文化相关的症状自我护理措施和试点数据收集 将在更大的研究中使用的策略来调查文化 俄罗斯老年移民和在美国出生的人的异同 少数族裔(非裔美国人)和非少数族裔(即非西班牙裔高加索人) 老年人关心常见的症状。具体目标是：(1)发展 与老年人文化相关的结构化症状和行为日记 在这三个种族/民族群体中，(2)确定定性访谈是否 关于症状评估和自我护理决策的实质性提高 通过症状和行为日记获得的信息，(3)澄清反应 完成八周每日日记数据和每周参与 最多八次定性访谈，(4)确定八周的每日日记 数据提供了症状维度和自我护理行为的充分差异 分析性别和民族/种族群体在自我照顾方面的差异，以及(5) 建立新开发的备选方案的内容和结构效度 结构化症状和行为日记的形式。在第一阶段， 回溯性健康状况和健康状况利用数据，八周预期 关于症状和自我护理的开放式日记数据，以及关于 将从36名按性别和性别分层的老年人中获得自我照顾决定 种族/民族群体。在第一阶段完成时，最多三个备用 结构化(主要是强迫选择)症状和行为日记的形式 将为俄罗斯人、非裔美国人和高加索长老开发。在.期间 第二阶段，将由42名长者组成焦点小组(按性别分层 和种族/民族)和一系列措施(回顾健康和 健康利用历史，一周预期日记数据，以及 健康状况标准化测量)将向288名老年人(也 按性别和种族/民族分层)，以验证结构化的 症状和行为日记。

This two-phase study will develop and evaluate the psychometrics of a culturally relevant measure of symptom self-care and pilot data collection strategies that will be used in a larger study to investigate cultural differences and similarities in how Russian elderly immigrants and US-born minority (.e., African American) and nonminority (i.e., nonHispanic Caucasian) elders care for commonly occurring symptoms. Specific aims are to: (1) develop a structured symptom and behavior diary that is culturally relevant for elders in these three racial/ethnic groups, (2) determine if qualitative interviews about symptom appraisals and self-care decision substantively augment information obtained by symptom and behavior diaries, (3) clarify the response rate for completing eight weeks of daily diary data and weekly participation in up to eight qualitative interviews, (4) determine if eight weeks of daily diary data provide sufficient variation in symptom dimensions and self-care behaviors for analyzing gender and ethnic/racial group differences in self-care, and (5) establish the content and construct validity of the newly developed alternate forms of the structured symptom and behavior diaries. During Phase One, retrospective health and health utilization data, eight weeks of prospective open-ended diary data about symptoms and self-care, and weekly interview about self-care decisions will be obtained from 36 elders stratified by gender and racial/ethnic group. At the completion of Phase one, up to three alternate forms of structured (primarily forced-choice) symptoms and behavior diaries will be developed for Russian, African American, and Caucasian elders. During Phase Two, focus groups will be conducted with 42 elders (stratified by gender and racial/ethnic group) and a battery of measures (a retrospective health and health utilization history, one week of prospective diary data, and a standardized measure of health status) will be administered to 288 elders (also stratified by gender and racial/ethnic group) to validate the structured symptom and behavior diaries.