Caregiving Dyads in Vulnerable Communities

弱势社区的护理二人组

• 批准号: 7934611
• 负责人: KAREN Ilene FREDRIKSEN-GOLDSEN
• 金额: $ 59.14万
• 依托单位: UNIVERSITY OF WASHINGTON
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-09-30 至 2012-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7934611
• 关键词: AIDS/HIV problem; Affect; African American; Age; American; Attention; Bisexual; Caregivers; Caring; Characteristics; Chronic Disease; Communities; Discrimination; Elderly; Ethnic Origin; Face; Gays; Gender; Health; Impairment; Intervention; Interview; Knowledge; Legal; Lesbian; Life; Long-Term Care; Mental Health; Minority; Minority Groups; Modeling; Nature; Older Population; Outcome; Problem Solving; Process; Recording of previous events; Research; Risk; Risk Factors; Role; Services; Social support; Stigmata; Stress and Coping; Testing; Time; Variant; Vulnerable Populations; adverse outcome; base; caregiving; contextual factors; design; disability; experience; high risk; improved; knowledge base; loved ones; male; meetings; member; men; psychological distress; public health relevance; resilience; social stigma; theories; therapy design; therapy development; trend

DESCRIPTION (provided by applicant) This first time R01 will examine risk and protective factors associated with physical and mental health outcomes among elder care recipients (CRs) and their informal caregivers (CGs) from vulnerable communities. With the significant increase in the older population and the trend toward noninstitutional care, Americans increasingly face the challenge of providing care to elders with chronic illness or disability. This study will examine the impact of stigma and dyadic relationships between elder CRs and their CGs in vulnerable communities, and how they influences positive and negative physical and mental health outcomes for both members of the care giving dyad. In addition, this research will examine whether the CRs and CGs ethnicity differentiates how risk and protective factors, including stigma and dyadic relationship variables, influence such outcomes. Face-to-face interviews will be conducted with 300 pairs of elder CRs and their informal CGs. The primary substantive contributions of the proposed research are as follows: 1) identify the background characteristics and risk and protective factors that are associated with physical and mental health outcomes among elder CRs and their CGs in vulnerable communities; 2) identify dyadic processes and relationship variables that may serve as protective factors for elder CRs and their CGs, and impact their physical and mental health outcomes; 3) assess similarities and differences among African American and White elder CRs and CGs as they relate to background characteristics, risk and protective factors, and physical and mental health outcomes; and, 4) develop information that will directly contribute to the design of appropriate community-based interventions supporting informal care giving within vulnerable and culturally diverse communities. PUBLIC HEALTH RELEVANCE: The proposed research in this first time R01 has important implications for improving the health of functionally impaired older Americans and their informal caregivers in ethnically diverse and vulnerable communities. By identifying the risk and protective factors that are associated with physical and mental health outcomes among elder care recipients (CRs) and their informal caregivers (CGs), this proposed research will provide necessary information that will directly contribute to the design of appropriate community-based interventions promoting health among both elder CRs and their CGs, and supporting informal care giving within vulnerable and ethnically diverse communities.

描述（由申请人提供）这是第一次R01将研究与弱势社区老年护理接受者（CRs）及其非正式照顾者（CGs）的身心健康结果相关的风险和保护因素。随着老年人口的显著增加和非机构护理的趋势，美国人越来越多地面临着为患有慢性病或残疾的老年人提供护理的挑战。本研究将研究弱势社区中老年cr和他们的CGs之间的耻辱和二元关系的影响，以及它们如何影响护理二元关系中两个成员的积极和消极的身心健康结果。此外，本研究将检查CRs和CGs的种族是否区分风险和保护因素，包括耻辱和二元关系变量，如何影响这些结果。将与300对年长的社区主任及其非正式社区主任进行面对面访谈。本研究的主要实质性贡献如下：1)确定与弱势社区老年cr及其CGs身心健康结果相关的背景特征和风险及保护因素；2)识别可能作为老年cr及其CGs保护因素并影响其身心健康结局的二元过程和关系变量；3)评估非洲裔美国人和白人老年人在背景特征、风险和保护因素以及身心健康结局方面的异同；4)开发信息，这些信息将直接有助于设计适当的社区干预措施，支持弱势和文化多样化社区的非正式护理。公共卫生相关性：首次提出的R01研究对改善不同种族和弱势社区功能受损的美国老年人及其非正式照顾者的健康具有重要意义。通过确定与老年护理接受者及其非正式护理者（CGs）的身心健康结果相关的风险和保护因素，本研究将提供必要的信息，直接有助于设计适当的社区干预措施，促进老年护理者及其非正式护理者的健康，并支持弱势和种族多样化社区的非正式护理。