Culture, Family Patterns, and Caregiver Resource Use

文化、家庭模式和护理人员资源使用

• 批准号: 7219464
• 负责人: MARIE-LUISE FRIEDEMANN
• 金额: $ 18.17万
• 依托单位: FLORIDA INTERNATIONAL UNIVERSITY
• 依托单位国家: 美国
• 资助国家: 美国
• 起止时间: 至
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/7219464
• 关键词: African American; Hispanic Americans; behavioral /social science research tag; caregivers; caucasian American; clinical research; community health services; culture; extended care facility; family nursing; family structure /dynamics; functional ability; health care model; health care policy; health care quality; health care service; health care service availability; health care service utilization; health services research tag; home for elderly; home health care; human old age (65+); human subject; interview; quality of life; racial /ethnic difference

The study proposes to build the knowledge needed by professionals to advise ethnic caregivers in the use of culturally congruent informal and formal resources that will prevent exhaustion and family crisis. It will lead to understanding of factors influencing caregivers' acceptance of services. The proposed study expands upon the work of the PI: the use of a family-based theoretical framework with caregivers and the measurement of family functioning. Specifically, the study explores differences between Hispanic, Black non-Hispanic, and White non-Hispanic caregivers in their perception of need and actual urse of resources. The aims are (1) To describe and contrast the needs and actual use of informal (family care) and formal (service programs) resources of 852 demographically differing caregivers in Miami-Dade County; (2) To develop a model that evaluates the strength of predictors (caregiving culture, family functioning, caregiving characteristics, and elder functioning) of both caregiver perception of need for resources and actual use of resources. (3) To explore the multidimensional constructs of family functioning and caregiving cultural patterns and their appropriateness as predictors of the perception of resource need and actual use. (4) To develop and test a culturally appropriate model that provides a solid base of knowledge about the process of selecting resources from which to develop and implement strategies to advise caregivers and influence policy makers in promoting services that are culturally acceptable and effective. The sample will be recruited with the cooperation of three home care agencies. A random sample of 852 caregivers of elders, age 65 and older, from three ethnic groups (Hispanics, African American/Blacks, non-Hispanic Whites) will be obtained. Of the total, 426 will be drawn to develop the model and the second 426 will be used to test the model with an independent sample. The caregivers will be interviewed about their informal caregiving arrangements, need for assistance and actual use of services. The measures used were previously found reliable. Analyses involve correlational and factor analyses, path analysis and structural modeling. All measures will be tested for reliability and trimmed, if necessary. The fit of the model will be examined with data from all 852 caregivers. Possibly, separate models will be developed for groups based on ethnic, demographic, or relationship differences.

该研究建议建立专业人士所需的知识，以建议种族护理人员使用具有文化的非正式和正式资源，以防止疲惫和家庭危机。这将导致理解影响护理人员接受服务的因素。拟议的研究扩展了PI的工作：使用基于家庭的理论框架与护理人员和家庭功能的测量。具体而言，该研究探讨了西班牙裔，黑人非西班牙裔和白人非西班牙裔护理人员之间对需求和实际资源的看法之间的差异。目的是（1） 描述和对比迈阿密戴德县的852个人口统计学差异的非正式（家庭护理）和正式（服务计划）的需求和实际使用； （2）开发一个模型，以评估护理人员对资源需求和实际使用资源的需求的看法（护理文化，家庭功能，护理特征和老年功能）的强度。 （3）探索家庭功能和护理文化模式的多维结构及其适当性，作为对资源需求和实际使用感知的预测指标。 （4）开发和测试一个具有文化上适当的模型，该模型为选择资源的过程提供了坚实的知识基础 在促进文化上可接受和有效的服务中。样本将通过三个家庭护理机构的合作来招募。从三个族裔（西班牙裔，非裔美国人/黑人）中随机样本，年龄在65岁及65岁以上的长辈的护理人员 将获得非西班牙裔白人）。在总计中，将绘制426个以开发模型，第二个426将用于使用独立样本测试模型。护理人员将接受有关他们的非正式护理安排，帮助和实际使用服务的采访。先前发现使用的措施可靠。分析涉及相关和因子分析，路径分析和结构建模。如有必要，将对所有措施进行可靠性测试并修剪。该模型的拟合度将使用来自所有852个护理人员的数据来检查。可能会根据种族，人口统计或关系差异为群体开发单独的模型。