FLORIDA/CLEVELAND ARTHRITIS DISABILITY CASCADE STUDY

佛罗里达/克利夫兰关节炎残疾级联研究

• 批准号: 6324597
• 负责人: KYLE KERCHER
• 金额: $ 3.83万
• 依托单位: CASE WESTERN RESERVE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2000
• 资助国家: 美国
• 起止时间: 2000-07-01 至 2001-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6324597
• 关键词: arthritis; behavioral /social science research tag; clinical research; comorbidity; disabling disease; disease /disorder prevention /control; frail elderly; functional ability; gender difference; geriatrics; health care quality; health education; health services research tag; human subject; human very old age (85+); longitudinal human study; medical rehabilitation related tag; model design /development; psychological adaptation; psychological stressor; quality of life; social support network; socioeconomics

The proposed competitive renewal study seeks to test a comprehensive model of buffers of disability and diminished quality of life for community- dwelling elderly with and without arthritis. We will examine how quality of medical care and proactive adaptations undertaken by old-old adults (80+) lessen the adverse impact of arthritis on their ability to function and help maximize the quality of their lives. Physicians and patients are seen as partners in care, with the patient-responsive medical care of physicians enhancing the proactive adaptations (physical activity and environmental modifications) of patients. The proposed research will extend our prior NEOMAMDC-funded longitudinal study in both time and space. We will obtained a long term longitudinal follow-up of our original Florida-based elderly cohort. In addition, we will extend our research from relatively healthy and affluent adults living in sunbelt retirement communities to now also include a broader cross-section of urban elderly and racial minorities, and thereby consider the process of arthritis- related disablement in an increasingly frail population of community- living elders of diverse racial and socioeconomic backgrounds. We will collects three annual waves of data based on in-home interviews of an estimated 419 respondents in Florida and 3865 respondents in Cleveland. A combined sample of 658 elderly persons is projected for the third year follow-up. Additionally, we will use least squares regression, structural equations, and latent growth curve analysis to test our comprehensive causal model regarding buffers of the disability cascade. More specifically, we will examine the buffering effect of patient-responsive medical care and proactive adaptation on the progression from arthritis to disability and diminished quality of life. Findings from the proposed study will be useful to clinicians, service providers, policy makers, and others attempting to minimize arthritis-induced disability and enhance quality of life among the elderly.

拟议的竞争性续约研究旨在测试一个全面的模型 残疾和社区生活质量下降的缓冲区- 有关节炎和无关节炎的老年人。我们将研究质量如何 老年人的医疗保健和积极适应 (80+）减轻关节炎对他们功能的不利影响 帮助他们最大限度地提高生活质量。医生和病人 被视为护理合作伙伴， 医生加强主动适应（体力活动和 患者的环境变化。拟议的研究将 扩展我们先前NEOMAMDC资助的纵向研究， 空间我们将获得一个长期的纵向随访，我们原来的 佛罗里达州的老年人队列。此外，我们将扩大我们的研究， 从相对健康和富裕的成年人生活在阳光地带退休 社区现在还包括更广泛的城市老年人 和少数民族，从而考虑关节炎的过程， 在日益脆弱的社区人口中， 不同种族和社会经济背景的在世长者。我们将 根据对一个家庭成员的家庭访谈， 估计佛罗里达有419名受访者，克利夫兰有3865名受访者。一 预计第三年的样本为658名长者 随访此外，我们将使用最小二乘回归，结构 方程和潜在增长曲线分析，以检验我们的综合 关于残疾级联缓冲区的因果模型。更 具体来说，我们将研究病人反应的缓冲作用， 医疗护理和积极适应从关节炎的进展， 残疾和生活质量下降。建议的调查结果 研究将有助于临床医生，服务提供者，政策制定者， 其他人试图尽量减少关节炎引起的残疾， 老年人的生活质量。