ELDER ABUSE, ETHNICITY, AND HEALTHCARE SETTINGS

虐待老人、种族和医疗保健环境

• 批准号: 6940642
• 负责人: Michael A. Rodriguez
• 金额: $ 15.44万
• 依托单位: UNIVERSITY OF CALIFORNIA LOS ANGELES
• 依托单位国家: 美国
• 财政年份: 2001
• 资助国家: 美国
• 起止时间: 2001-08-15 至 2006-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6940642
• 关键词: behavioral /social science research tag; caregivers; clinical research; diagnosis design /evaluation; disease /disorder proneness /risk; elder abuse; geriatrics; health care personnel; human middle age (35-64); human old age (65+); human subject; mental disorder diagnosis; mental health epidemiology; psychological aspect of aging; psychosocial service; racial /ethnic difference

DESCRIPTION (applicant s abstract): Dr. Michael Rodriguez, MD, MPH, has developed expertise in the area of intimate partner abuse among ethnically diverse populations. Through mentoring relationships, structured integrated activities, and development of a research program, Dr. Rodriguez will advance his independence in conducting patient-oriented clinical research. Elder mistreatment is a significant health and social problem affecting all racial, ethnic, and socioeconomic groups. Although cultural values influence attitudes about mistreatment, little research has focused on understanding mistreated elders' perspectives on mistreatment. Furthermore, identification and management of elder mistreatment in health care settings are impeded by the lack of effective, culturally appropriate screening tools. In focus groups with mistreated Latino, African-American, and non-Latino Caucasian elders, Dr. Rodriguez will examine perceptions of mistreatment and identify factors that facilitate or hinder patient-provider communication about mistreatment. Similarly, focus groups with cognitively impaired elders, care givers, health care providers, and adult protective services workers will examine their perspectives on the definition of elder mistreatment and factors facilitating its identification in health care settings. A survey instrument will be developed using results from focus groups, current literature, and expert advice, and will include screening questions, established measures of abuse and neglect, patient preferences for health care interventions, demographic, and descriptive data. The survey will be administered to an ethnically diverse, clinic-based sample of elderly patients, and resulting data will provide information on risk factors for eider mistreatment and the utility of the screening questions. The goals of this study are to: (1) examine mistreated elders' perceptions of mistreatment and the role of health care providers in addressing elder mistreatment; (2) examine care givers, health care providers, and adult protective service workers perspectives on mistreatment and how health care providers can help victims; (3) identify risk factors for elder mistreatment; and (4) begin development of a screening tool for use in health care settings.

描述（申请人摘要）：Michael Rodriguez 博士，医学博士，公共卫生硕士，拥有 发展了种族间亲密伴侣虐待领域的专业知识 不同的人群。通过指导关系，结构化集成 罗德里格斯博士将推进 他独立进行以患者为导向的临床研究。 虐待老年人是一个影响所有人的重大健康和社会问题 种族、民族和社会经济群体。尽管文化价值观影响 对虐待的态度，很少有研究关注于理解 受虐待长辈对受虐待的看法。此外，识别 医疗保健机构中虐待老年人的管理受到以下因素的阻碍 缺乏有效的、适合文化的筛选工具。 在受虐待的拉丁裔、非裔美国人和非拉丁裔的焦点小组中 罗德里格斯博士将调查白人长者对虐待和虐待的看法 识别促进或阻碍患者与提供者沟通的因素 关于虐待。同样，针对认知障碍老年人的焦点小组， 护理人员、医疗保健提供者和成人保护服务人员将 审视他们对虐待老人的定义和因素的看法 促进其在医疗保健环境中的识别。一种调查仪器 将利用焦点小组的结果、当前的文献和 专家建议，并将包括筛选问题、既定措施 虐待和忽视、患者对医疗保健干预的偏好、 人口统计和描述性数据。该调查将由 种族多样化、基于临床的老年患者样本，以及由此产生的结果 数据将提供有关绒绒虐待的风险因素和 筛选问题的实用性。 本研究的目的是：（1）调查受虐待老年人的看法 虐待和医疗保健提供者在解决老年人问题方面的作用 虐待; (2) 检查护理人员、医疗保健提供者和成人 防护服务人员对虐待的看法以及医疗保健如何 提供者可以帮助受害者； (3) 识别虐待老年人的危险因素； (4) 开始开发用于医疗保健机构的筛查工具。

项目成果

The Building Wellness project: a case history of partnership, power sharing, and compromise.

• 发表时间: 2006
• 期刊: Ethnicity & disease
• 影响因子: 3.2
• 作者: Drew Jones;C. Franklin;B. Butler;Pluscedia Williams;K. Wells;Michael A. Rodriguez