Caregiving in Wisconsin: Impact on Health, Quality of Life, and Aging

威斯康星州的护理：对健康、生活质量和老龄化的影响

• 批准号: 8455631
• 负责人: Kristin R Litzelman
• 金额: $ 2.6万
• 依托单位: UNIVERSITY OF WISCONSIN-MADISON
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-09-12 至 2013-06-14
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8455631
• 关键词: 21 year old; Accounting; Adult; Age; Aging; Aging-Related Process; Attenuated; Biological Markers; Caregivers; Caring; Cell Aging; Characteristics; Child; Dementia; Development; Disabled Persons; Exhibits; Family; Family member; Female; Friends; Gender; Goals; Health; Hour; Household; Income; Individual; Interdisciplinary Study; Intervention; Lead; Learning; Length; Life; Link; Low income; Mediator of activation protein; Mental Health; Mission; Modeling; National Institute on Aging; Nature; Outcome; Pathway interactions; Perception; Physiological; Play; Policies; Quality of life; Reporting; Research; Risk; Role; Sampling; Spouses; Stress; Subgroup; Techniques; Wisconsin; Work; adverse outcome; caregiving; demographics; disability; economic value; experience; health related quality of life; high risk; improved; innovation; physical conditioning; population based; prevent; residence; telomere; theories

DESCRIPTION (provided by applicant): Informal caregivers (those who provide unpaid care for an ill or disabled family member or friend) play a critical role in the care of aging and disabed individuals in the US. As the number of individuals requiring informal care increases, greater numbers of caregivers will be at risk of poor health outcomes associated with caregiving. It is therefore vital to understand the pathways by which caregiving may adversely impact caregiver health, so as to inform interventions and policies that will protect caregivers and their families. In order to achieve this goal, this study seeks to determine if and to what extent the perception of strain due to caregiving explains the association between characteristics of the caregiving experience and caregiver health on both the subjective and physiological level. Using a population-based sample of adults ages 21 to 74 from the state of Wisconsin, the specific aims of this study are to: 1) compare caregivers and non-caregivers on perceived stress and mental and physical health-related quality of life, and evaluate if disparities exist in these outcomes; 2 determine the impact of caregiving characteristics (including duration of caregiving, hours per week of care provided, relationship with the care recipient, disability or illness of the care recipient, and co-residence with the care recipient) and caregiver strain on health-related quality of life; and 3) determine the association between caregiving characteristics, caregiver strain, and telomere length, a biological marker of the physiological impact of caregiving stress. Generalized additive models will be used to account for potential non-linear relationships in this study, and more accurately evaluate these relationships. This study is directly in line with the mission of the National Institute on Aging to support interdisciplinary research into the nature of aging and the aging process. Ultimately this research will provide evidence of how best to protect the health and quality of life of caregivers and those for whom they care. The information gained from this study will lead to better identification of high-risk caregivers, and will prove critical to the development of effective and sustainable interventions and policies that will prevent or reduce caregiver strain and subsequent poor health outcomes. This will be essential in improving the health and quality of life caregivers and their families. PUBLIC HEALTH RELEVANCE: This study will add to the understanding of the how caregiving may lead to poor health-related quality of life and accelerated cellular aging. This information will be important for future research studies and may lead to interventions that will improve health outcomes and increase the healthy-active years of life for caregivers and their families.

描述（由申请人提供）：非正式护理人员（为生病或残疾的家庭成员或朋友提供无偿护理的人员）在美国老年人和残疾人的护理中发挥着关键作用。随着需要非正式护理的人数增加，更多的护理人员将面临与护理相关的不良健康结果的风险。因此，了解护理可能对护理人员健康产生不利影响的途径至关重要，以便为保护护理人员及其家人的干预措施和政策提供信息。为了实现这一目标，本研究旨在确定护理引起的紧张感是否以及在多大程度上解释了护理体验特征与护理人员健康在主观和生理层面上的关联。本研究使用威斯康星州 21 至 74 岁成年人的人口样本，其具体目的是：1) 比较照顾者和非照顾者的感知压力以及身心健康相关的生活质量，并评估这些结果是否存在差异； 2 确定护理特征（包括护理持续时间、每周提供护理的小时数、与护理接受者的关系、护理接受者的残疾或疾病以及与护理接受者同住）和护理者压力对健康相关质量的影响 生活的； 3) 确定护理特征、护理人员应变和端粒长度之间的关联，端粒长度是护理压力生理影响的生物标志。本研究将使用广义加性模型来解释潜在的非线性关系，并更准确地评估这些关系。 这项研究直接符合国家老龄化研究所的使命，即支持跨学科研究的本质 衰老和衰老过程。最终，这项研究将为如何最好地保护护理人员及其所照顾的人的健康和生活质量提供证据。从这项研究中获得的信息将有助于更好地识别高风险护理人员，并将证明对于制定有效和可持续的干预措施和政策至关重要，以防止或减少护理人员的压力和随后的不良健康结果。这对于改善护理人员及其家人的健康和生活质量至关重要。 公共健康相关性：这项研究将加深人们对护理如何导致与健康相关的生活质量不佳和加速细胞衰老的理解。这些信息对于未来的研究非常重要，并可能导致采取干预措施，改善健康结果并延长护理人员及其家人的健康活跃寿命。