RELOCATION OF ETHNIC ELDERS--DECISIONS AND SEQUELAE

少数民族老人的重新安置——决定和后遗症

• 批准号: 6529332
• 负责人: REBECCA Ann JOHNSON
• 金额: $ 9.92万
• 依托单位: UNIVERSITY OF MISSOURI-COLUMBIA
• 依托单位国家: 美国
• 财政年份: 1999
• 资助国家: 美国
• 起止时间: 1999-05-01 至 2004-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6529332
• 关键词: African American; Hispanic Americans; behavioral /social science research tag; caucasian American; clinical research; community; decision making; human old age (65+); human subject; interview; longitudinal human study; nursing homes; psychological adaptation; questionnaires; racial /ethnic difference; residential mobility; social support network; socioenvironment

Despite knowledge that the population of older adults is becoming increasingly ethnically diverse, and awareness that older adults of all ethnic groups face relocation as they age and need more supportive housing, little is known about how the relocation process occurs across ethnic groups. Homogeneity of process may be an injurious assumption for nurses to make in helping ethnic elders relocate. Ethnic differences may be central to promoting positive relocation outcomes because relocation is a complex process including assessing the elder's needs, present living arrangement and support sources, identifying the most appropriate housing option, preparing to relocate, relocating, and adjusting to the new home. Few comparisons have been made of relocation among African-American, Hispanic and Caucasian elders. The long term objective of the investigator's research is to develop and test ethnically-sensitive interventions for nurses to use to assist relocating elders. The proposed study, uses a cross-sectional, descriptive design in three Phases, aiming to delineate the differences across ethnic groups in: formal and informal support sources used before and during relocation, factors promoting and preventing relocation, and the decision-making process of relocation. In Phase 1 study instruments will be tested with a group of Hispanic university students to insure validity and reliability of Spanish translations. In Phase 2, elders recruited from nursing home waiting lists will complete study instruments (n=70 African-Americans, 70 Hispanics and 70 Caucasians). In Phase 3, elderly, community-dwelling subjects not awaiting relocation will complete study instruments (n=70 African-Americans, 70 Hispanics and 70 Caucasians). In Phase 4, subjects interviewed in Phase 2 will again complete instruments and be interviewed after relocation. In each of Phases 2 and 3 in-depth interviews will be conducted with a randomly selected subsample of informants (n=12 per ethnic group) using a Topic List (TL). The Demographic Questionnaire (DQ), Iowa Self Assessment Inventory (ISAI), and the Factors Affecting Placement Inventory (FAPI) will be used to collect data in Phases 2 and 3. In Phase 4 informants will be interviewed and will complete five subscales of the ISAI within 6-8 weeks of relocation to the nursing home.

尽管人们知道老年人的数量正在变得 越来越多的种族多样化，意识到所有的老年人 少数民族群体随着年龄的增长面临搬迁，需要更多的支持 住房，很少有人知道如何搬迁过程中发生的跨越 种族群体。 过程的同质性可能是一个有害的假设 帮助少数民族老人重新安置。 民族 差异可能是促进积极搬迁结果的核心 因为搬迁是一个复杂的过程， 需要，目前的生活安排和支持来源，确定 最合适的住房选择，准备搬迁，搬迁， 适应新家 很少有人对搬迁进行比较 在非裔美国人西班牙裔和白人老年人中 长期 研究者的研究目标是开发和测试 对种族敏感的干预措施，供护士使用， 搬迁老人。 这项研究采用了一个横截面， 分三个阶段进行描述性设计，旨在描述差异 在种族群体中：以前使用的正式和非正式支持来源 以及在搬迁期间，促进和阻止搬迁的因素， 搬迁的决策过程。 在I期研究工具中 将与一组西班牙裔大学生一起进行测试， 西班牙语翻译的有效性和可靠性。 在第二阶段， 从养老院等候名单中招募的患者将完成研究 工具（n=70名非洲裔美国人，70名西班牙裔和70名高加索人）。 在第3阶段，老年、社区居住受试者不等待搬迁 将完成研究工具（n=70名非洲裔美国人，70名西班牙裔美国人 70名高加索人）。 在第4阶段，第2阶段访谈的受试者将 搬迁后再次完成仪器并接受采访。 在每个 第二阶段和第三阶段的深入访谈将随机进行 使用主题选择的受访者子样本（n=12/种族） 列表（TL）。 人口统计学问卷（DQ），爱荷华州自我评估 影响安置调查表（FAPI）的因素 将用于收集阶段2和阶段3的数据。在第四阶段， 将接受采访，并将完成ISAI的五个分量表， 6-8几周的搬迁到养老院。