Assessing the influence of family care resources on care utilization and transitions for older adults with dementia

评估家庭护理资源对痴呆症老年人护理利用和过渡的影响

基本信息

批准号：
9926796
负责人：
HwaJung Choi
金额：
$ 11.14万
依托单位：
UNIVERSITY OF MICHIGAN AT ANN ARBOR
依托单位国家：
美国
项目类别：
财政年份：
2018
资助国家：
美国
起止时间：
2018-09-01 至 2023-04-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9926796
关键词：
Adult Adult Children Age Aging Alzheimer&apos s Disease Alzheimer&apos s disease related dementia American Award Caregiver Burden Caregivers Caring Characteristics Communities Cost Analysis Country Data Data Collection Data Sources Dementia Dementia caregivers Demographer Development Direct Costs Disease Doctor of Philosophy Economics Elderly Emotional Stress Environment Epidemiology Face Facilities and Administrative Costs Family Family Caregiver Family health status Family member Financial cost Focus Groups Fostering Foundations Friends Functional disorder Funding Goals Group Interviews Health Health Care Costs Health care facility Healthcare Home environment Individual Institutes Interdisciplinary Study Intervention Intervention Studies Knowledge Learning Light Long-Term Care Measures Medicare Medicine Mentorship Methodology Michigan Mission Patients Pattern Personal Satisfaction Policies Policy Research Population Positioning Attribute Prevalence Primary Health Care Public Health Public Policy Qualitative Research Quality of life Research Research Methodology Research Personnel Research Project Grants Research Technics Research Training Resources Role Scientist Services Social Sciences Social support Spouses Surveys System Time Training United States National Institutes of Health Universities Update aging in place aging population base care costs care systems career caregiving community setting cost data management dementia care dementia caregiving development policy education resources family influence health care service utilization high risk human old age (65+)improved in-home care informal care informal caregiving innovation interest intervention program longitudinal dataset meetings programs recruit research and development skills social socioeconomics welfare

项目摘要

PROJECT SUMMARY/ABSTRACT HwaJung Choi, PhD is a family and labor economist and demographer by doctoral training. Her research interest has been inter-relationships among family, health, and healthcare for aging population. Her long-term career goals are: i) to become an independently funded investigator on large research projects informing public policy and intervention research toward improving health and welfare of older adults and their family caregivers dealing with Alzheimer's disease and related dementias (ADRD); ii) to develop innovative data collection and utilization strategy to assess the true costs of healthcare for aging population; and iii) to become an educator of scholars in inter-disciplinary research on social science, public health, and medicine. Dr. Choi's K01 training goals are the following: i) Acquire scientific knowledge in ADRD pathophysiology and epidemiology, and ADRD care; ii) Learn further about aging research and healthcare cost assessments for an aging population; iii) Acquire qualitative research skills; iv) Update specific skills in quantitative research methods and survey data research technique that are needed to complete my proposed research; and v) Enrich research and network via participation in meetings and programs on inter-disciplinary research. The proposed research includes three aims: i) Using a longitudinal data representative of US older adults, determine the potential family care availability of older adults from prior to the onset of dementia and assess demographic and socioeconomic differences in the family availability; ii) Examine how potential family care availability influences care utilization and care costs at onset and during the course of ADRD; and iii) Conduct a mixed methods research to assess the extent to which family care availability influences care allocation and costs/burdens that an informal ADRD caregiver faces during the course of ADRD care. The University of Michigan (UM) offers an ideal research environment for the proposed research and training. The HRS, primary data source, is provided and managed by the Institute for Social Research (ISR) at UM. The NIH sponsored Michigan Alzheimer's Disease Center (MADC) at UM provides rich educational resources specific to ADRD and collects/manages data of Michigan ADRD patients and their caregivers. The MADC will also facilitate Dr. Choi's qualitative research by helping with recruitments, providing facilities for focus group interviews, and assisting with data management/analysis. The proposed research will significantly inform policies and intervention programs to improve health and wellbeing of older adults with ADRD. The K01 will provide Dr. Choi critical training in ADRD and necessary research methods for her to become a full-fledged independent investigator leading an inter-disciplinary team on aging research. Therefore, the proposed K01 is directly aligned with NIA's mission that is to foster the development of research scientist in aging and to support social, economic, and health research on aging. 1

项目摘要/摘要 Hwajung Choi博士是博士学位培训的家庭和劳工经济学家和人口统计学家。她的研究兴趣一直是家庭，健康和医疗保健之间的关系。她的长期职业目标是：i）成为大型研究项目的独立资助的调查员，向公众通报政策和干预研究，以改善老年人及其家人的健康和福利处理阿尔茨海默氏病和相关痴呆症（ADRD）的护理人员； ii）开发创新数据收集和利用策略，以评估老龄化人口的医疗保健的真实成本； iii）成为关于社会科学，公共卫生和医学跨学科研究学者的教育者。 Choi博士的K01培训目标如下：i）获取ADRD病理生理学和流行病学和ADRD护理； ii）进一步了解有关老龄化研究和医疗保健成本评估人口老龄化； iii）获得定性研究技能； iv）更新定量研究中的特定技能完成我建议的研究所需的方法和调查数据研究技术；和v）丰富通过参加跨学科研究的会议和计划进行研究和网络。拟议的研究包括三个目的：i）使用代表美国老年人的纵向数据，从痴呆发作之前确定老年人的潜在家庭护理可用性并评估家庭可用性的人口和社会经济差异； ii）检查潜在的家庭护理可用性会影响发病和ADRD期间的护理利用和护理费用；和iii）行为一项混合方法研究，以评估家庭护理可用性影响护理分配和成本/负担是非正式的ADRD护理人员在ADRD护理过程中面临的费用。密歇根大学（UM）为拟议的研究和培训提供了理想的研究环境。 HRS，主要数据源，由UM社会研究所（ISR）提供和管理。这 NIH赞助了UM的密歇根州阿尔茨海默氏病中心（MADC）提供丰富的教育资源特定于ADRD，并收集/管理密歇根州ADRD患者及其护理人员的数据。 MADC会还通过帮助招聘来促进崔博士的定性研究，为焦点小组提供设施访谈，并协助进行数据管理/分析。拟议的研究将极大地为政策和干预计划提供信息，以改善健康和 ADRD老年人的健康。 K01将在ADRD中提供Choi博士的批判性培训和必要她成为一名成熟的独立研究者的研究方法领导一个跨学科团队关于衰老研究。因此，拟议的K01与NIA的使命直接一致，该使命是促进发展衰老的研究科学家并支持衰老的社会，经济和健康研究。 1