Caregiving burden and heart rate variability: Differences by race/ethnicity and gender

护理负担和心率变异性：种族/民族和性别的差异

• 批准号: 9755677
• 负责人: JACLENE A ZAUSZNIEWSKI
• 金额: $ 4.21万
• 依托单位: CASE WESTERN RESERVE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2016
• 资助国家: 美国
• 起止时间: 2016-09-27 至 2020-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9755677
• 关键词: Address; Adult; Adverse effects; Affect; Affective; American; Area; Bipolar Disorder; Caregiver Burden; Caregivers; Caring; Characteristics; Chronic; Chronic stress; Clinical Trials; Correlation Studies; Data; Data Analyses; Diagnosis; Distress; Ethnic Origin; Family Caregiver; Family member; Female; Financial Support; Frequencies; Funding; Future; Gender; Generations; Goals; Health; Healthcare; International; Intervention; Investigation; Knowledge; Lead; Literature; Longevity; Malignant Neoplasms; Manic; Measures; Mental Depression; Mental Health; Mentors; Mentorship; Minority; Moods; Neurologic; Nurses; Parents; Participant; Patient Self-Report; Persons; Physiological; Psychological Stress; Questionnaires; Race; Reporting; Research; Research Activity; Research Personnel; Research Priority; Research Training; Risk; Science; Scientist; Self Care; Self Management; Severities; Stress; Symptoms; Time; Training; Training Support; Woman; behavioral health; biological adaptation to stress; care burden; care giving burden; career development; caregiving; cost; disability-adjusted life years; early onset; experience; health disparity; heart rate variability; hospital readmission; interest; male; member; parent grant; peer; physical conditioning; pre-doctoral; primary care services; psychologic; racial difference; sociodemographics

Project Summary/Abstract This application is a Diversity Supplement to parent grant R01 NR016817-01 (2016-2020), “Tailored health self-management interventions for highly distressed family caregivers” (J.A. Zauszniewski, PI). Two years of predoctoral research training and support is requested for an outstanding minority candidate, Ms. Elizabeth Williams, BSN, RN. Ms. Williams plans to study the relationships among caregiver characteristics (i.e. race/ethnicity and gender) and stress responses (psychological and physiological) in family caregivers of adults with bipolar disorder. The specific aims for the supplement project are to: 1) determine whether there are differences by caregiver characteristics (race/ethnicity and gender) on measures of psychological stress responses (self-reported involvement in care and caregiving burden); 2) determine whether there are differences by caregiver characteristics (race/ethnicity and gender) on measures of physiological stress responses (heart rate variability: time and frequency domains – eight indicators); 3) examine associations among all of the indicators of psychological and physiological stress responses; and 4) explore relationships among available indicators of the time and frequency domains of heart rate variability. Under the mentorship of Dr. Jaclene A. Zauszniewski and the other co-investigators of the parent grant, Ms. Williams will engage in a set of formal and informal research activities related to the understanding of health disparities and caregiver stress, with a specific interest in disentangling differences on psychological and physiological measures of stress responses, and particularly, the time and frequency domains of heart rate variability. Her study will concentrate on measures obtained at baseline on demographic characteristics, and psychological and physiological stress on all study participants (N=300), who are family caregivers of persons with bipolar disorder. This Diversity Supplement addresses research priorities of the NINR to develop a diverse cadre of nurse scientists to advance the science of caregiving and health disparities. Ms. Williams' involvement in the parent clinical trial will provide invaluable experiences for her as she progresses towards her goal of acquiring the necessary mentoring, substantive knowledge, and scientific training that will set her apart among her peers with unique knowledge and expertise in the areas of health disparities, caregiver stress, and heart rate variability.

项目总结/摘要 本申请是母基金R 01 NR 016817 -01（2016-2020）“定制健康”的多样性补充 高度苦恼的家庭照顾者的自我管理干预”（J.A. Zauszniewski，PI）。两年的 博士前的研究培训和支持是一个优秀的少数民族候选人，伊丽莎白女士的要求 威廉姆斯，BSN，RN。威廉姆斯女士计划研究照顾者特征之间的关系。 种族/民族和性别）和压力反应（心理和生理）的家庭照顾者， 患有躁郁症的成年人补充项目的具体目标是：1）确定是否有 照顾者特征（种族/民族和性别）对心理压力测量的差异 回答（自我报告的参与护理和负担）; 2）确定是否有 不同护理人员特征（种族/民族和性别）对生理压力测量的差异 反应（心率变异性：时域和频域-八个指标）; 3）检查关联 在心理和生理应激反应的所有指标之间;以及4）探索关系 在心率变异性的时域和频域的可用指标中。的辅导下 博士Jaclene A. Zauszniewski和其他合作研究者的母赠款，女士威廉姆斯将从事一个 一套正式和非正式的研究活动，与了解健康差异和照顾者有关 压力，特别感兴趣的是解开心理和生理措施的差异， 应激反应，特别是心率变异性的时域和频域。她的研究将 重点关注基线时获得的人口统计学特征、心理和 所有研究参与者（N=300）的生理压力，他们是双相情感障碍患者的家庭照顾者 disorder.这一多样性补充解决了NINR的研究重点，以发展一个多样化的干部， 护士科学家，以促进科学的生育和健康的差距。威廉姆斯女士参与 母公司临床试验将为她提供宝贵的经验，因为她朝着她的目标，获得 必要的指导，实质性的知识和科学培训，使她在同龄人中脱颖而出 在健康差异、护理人员压力和心率方面拥有独特的知识和专业知识 可变性