COMMUNITY EPIDEMIOLOGIC STUDY OF CAREGIVING AND HEALTH

护理和健康的社区流行病学研究

• 批准号: 6783354
• 负责人: LIESI E HEBERT
• 金额: $ 46.95万
• 依托单位: RUSH UNIVERSITY MEDICAL CENTER
• 依托单位国家: 美国
• 财政年份: 2000
• 资助国家: 美国
• 起止时间: 2000-09-30 至 2006-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6783354
• 关键词: African American; aging; angers; anxiety; behavioral /social science research tag; caregivers; caucasian American; clinical research; depression; health behavior; human old age (65+); human subject; income; longitudinal human study; mental health epidemiology; person with disability; racial /ethnic difference; religion; social support network

This is a revision of an application which was not funded. A population-based longitudinal study of the physical and psychological health effects of caregiving among African American and white community residents over age 65 is proposed to test the following hypotheses: 1) Caregivers will experience greater declines in physical health than non-caregivers as measured by: a. self-reported physical disability and health status; b. direct tests of physical performance; and c. self-reported health behaviors; 2) Caregivers will experience greater declines in psychological heal5th (depressive symptoms, anxiety, anger) and smaller increases in six measures of positive well-being than non-caregivers; 3) Negative consequences of caregiving will be modified both by characteristics of the care recipient and by the resources available to the caregiver: a. Negative consequences will increase with the severity of the care recipient's cognitive, physical, and behavioral problems and with greater duration and time spent providing care; b. Negative consequences will decrease with greater caregiver income and social support; 4) African American caregivers will experience fewer negative consequences than white caregivers, which will be explained by more positive appraisals of caregiving and greater religiosity. The study design permits observation of the full range of caregiving activities, consequences and mitigating factors in a population representative group of caregivers. The study will distinguish between health changes occurring in this age group due to other causes and those due to caregiving because caregivers will be compared to a truly representative group of non-caregivers selected from the same community cohort. Observations for some will begin before start of caregiving and extend after its end. The study will use standardized measures and will build on data already collected in conjunction with a group which has been successful in achieving high rates of follow-up participation in biracial community studies. Results will quantify the caregiving exposures that lead to health consequences. Factors found to minimize negative health effects will provide potential interventions to minimize stress and maintain the health of older caregivers, and thereby minimize the social and economic impacts of caregiving.

这是对未获得资助的申请的修订。一个 基于人群的身心健康纵向研究 护理对非裔美国人和白人社区居民的影响超过 建议在 65 岁时检验以下假设： 1) 照顾者将 据测量，与非照顾者相比，身体健康状况下降幅度更大 作者：自我报告的身体残疾和健康状况； b.直接测试 身体表现；和c。自我报告的健康行为； 2) 护理人员将 心理健康状况下降幅度更大（抑郁症状、 焦虑、愤怒），六项积极幸福感指标的增幅较小 比非照顾者； 3）护理的负面后果将被改变 既根据被照顾者的特征，也根据可利用的资源 照顾者： A.负面后果会随着事态的严重程度而增加 护理接受者的认知、身体和行为问题，并且具有更大的 提供护理的持续时间和时间； b.负面后果将会减少 照顾者收入和社会支持更高； 4) 非裔美国人 护理人员比白人护理人员经历的负面后果更少， 这可以通过对护理的更积极的评价和更大的 宗教信仰。该研究设计允许观察全方位 人群中的护理活动、后果和缓解因素 照顾者的代表群体。该研究将区分健康 由于其他原因以及由于以下原因而在该年龄段发生的变化 护理，因为护理人员将与真正具有代表性的群体进行比较 从同一社区群体中选出的非照顾者。观察结果 有些会在护理开始前开始，并在护理结束后延长。研究 将使用标准化措施，并以已收集的数据为基础 与一个已成功实现高比率的团体合作 后续参与混血社区研究。结果将量化 导致健康后果的护理暴露。发现的因素 最大限度地减少对健康的负面影响将为 最大限度地减少压力并保持老年护理人员的健康，从而 最大限度地减少护理的社会和经济影响。