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: 6479987
• 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: 2001
• 资助国家: 美国
• 起止时间: 2001-07-01 至 2003-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6479987
• 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.

拟议的竞争性更新研究旨在测试一个综合模型 缓冲残疾和社区生活质量下降的影响 患有或不患有关节炎的居住老年人。我们将检查质量如何 老年人进行的医疗护理和主动适应 (80+) 减轻关节炎对其功能能力的不利影响 并帮助最大限度地提高他们的生活质量。医生和患者都是 被视为护理合作伙伴，提供针对患者的医疗护理 医生加强主动适应（体力活动和 环境改变）患者。拟议的研究将 扩展了我们之前 NEOMAMDC 资助的纵向研究的时间和范围 空间。我们将对我们最初的研究进行长期纵向跟踪 佛罗里达州的老年人队列。此外，我们还将扩展我们的研究 来自生活在阳光地带退休的相对健康和富裕的成年人 社区现在还包括更广泛的城市老年人 和少数族裔，从而考虑关节炎的过程- 社区中日益虚弱的人口出现相关的残疾—— 不同种族和社会经济背景的在世长者。我们将 根据对一个人的家庭访谈收集了三波年度数据 估计佛罗里达州有 419 名受访者，克利夫兰有 3865 名受访者。一个 预计第三年将纳入 658 名老年人的合并样本 后续行动。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来测试我们的综合能力 关于残疾级联缓冲的因果模型。更多的 具体来说，我们将检查患者反应的缓冲效果 医疗护理和积极适应从关节炎到关节炎的进展 残疾和生活质量下降。拟议的调查结果 研究将对临床医生、服务提供者、政策制定者和 其他人试图尽量减少关节炎引起的残疾并增强 老年人的生活质量。