Aging Together: Relationship Dynamics Between the Very Old and Their Old Children

一起老龄化：老年人与年长子女之间的关系动态

• 批准号: 9385553
• 负责人: Kathrin Boerner
• 金额: $ 22.9万
• 依托单位: UNIVERSITY OF MASSACHUSETTS BOSTON
• 依托单位国家: 美国
• 财政年份: 2017
• 资助国家: 美国
• 起止时间: 2017-08-01 至 2019-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9385553
• 关键词: Accounting; Address; Adult; Affect; Age; Aging; Attention; Behavior Therapy; Behavioral Model; Caregivers; Caring; Censuses; Centenarian; Characteristics; Child; Code; Communities; Cues; Data; Data Collection; Development; Elderly; Emotional; Equilibrium; Face; Family; Family member; Freedom; Friends; Future; Gender; Goals; Health; Individual; Intervention; Interview; Investigation; Life; Life Expectancy; Literature; Mediating; Mental Health; Methodology; Methods; Mission; Modeling; Nature; Outcome; Parent-Child Relations; Parents; Pattern; Personality Traits; Persons; Population; Portraits; Prevalence; Process; Public Health; Quality of Care; Race; Recruitment Activity; Research; Rewards; Risk; Risk Assessment; Risk Factors; Role; Sampling; Shapes; Social Network; Spouses; Stress; Structure; Testing; Time; United States National Institutes of Health; age related; aged; base; care giving burden; care recipients; caregiver interventions; caregiving; cognitive capacity; cultural values; depressive symptoms; design; evidence base; experience; innovation; insight; intergenerational; knowledge base; member; physical conditioning; primary caregiver; racial and ethnic; service intervention; social; solidarity; spelling; stressor; therapy development; virtual

Project Summary Current increase in life expectancy gives rise to a new phenomenon that has received little attention to date: family members reaching very old age together. Since very old adults mostly outlive spouses and friends, their children are likely to become the primary contact person. Yet, virtually nothing is known about the relationship constellation of very old adults and their “old” children. Prior research has yielded limited insight on social relationships in very late life, including the question whether or not, and if so, which bidirectional support exchanges between parents and children may still take place and what particular challenges might emerge in this growing but understudied relationship scenario. Our primary objective is to explore the nature and consequences of the very old parent-child relationship, and to offer insight into person/dyad-specific characteristics that may be associated with greater risk for poor well-being and care-related outcomes in these dyads. Our central hypothesis is that the very old parent-child relationship is characterized by both rewards and challenges, but that challenges dominate, given the age-related health limitations of both the very old and the “old” child, and the prolonged developmentally “off-time” compromised freedom and goal pursuit that come with the child’s caregiving involvement at that age. Specific aims: 1) To identify the patterns of reciprocal support exchanges occurring in very old parent-child dyads, as well as to ascertain person and context factors associated with these patterns. 2) To examine the effect of support exchanges on the challenges and rewards experienced by both dyad members, accounting for environmental barriers, cultural values, and personality traits as moderators. 3) To examine the effects of support exchanges on the well-being and care-related outcomes of both dyad members, mediated by their perceived challenges and rewards. To address these aims, semi-structured in-person interviews will be conducted with 120 very old parent-old child dyads (parent > 95; child > 65 years). Analysis of mixed-method data will involve qualitative (thematic coding) and quantitative (multivariate; actor-partner interdependence models) methodology. The innovation of this research lies in studying a new phenomenon in an understudied population. Study findings will provide us with a rich array of cues for our long-term goal of intervention development, allowing us to identify the unique challenges of our target dyads, and helping us to spell out how specific person and dyad characteristics may influence support exchanges/outcomes, and shape the dyads’ care and support needs. This knowledge base will enable us to design or adapt interventions not only tailored to our target group as a whole but also to specific types of dyads (e.g., based on gender composition, ethnic/racial group, particular challenges, or unmet care needs).

项目摘要 目前预期寿命的增加引起了一个新的现象，但很少有人注意到。 日期：家庭成员一起达到很老的年龄。由于老年人大多比配偶和朋友长寿， 他们的子女很可能成为主要联系人。然而，事实上， 非常老的成年人和他们的“老”孩子的关系星座。先前的研究对以下方面的认识有限： 社会关系在很晚的生活，包括是否的问题，如果是这样，双向支持 父母和孩子之间的交流可能仍然存在， 这种不断发展但未被充分研究的关系我们的主要目标是探索自然， 非常古老的亲子关系的后果，并提供深入了解人/二元体的具体 这些患者的特征可能与更大的健康不良风险和护理相关结局相关， 二分体我们的中心假设是，非常古老的亲子关系的特点是， 和挑战，但这些挑战占主导地位，因为年龄相关的健康限制，无论是非常老， “老”孩子，以及长期的发育“休息时间”，损害了随之而来的自由和目标追求 孩子在那个年龄段的参与程度。 具体目的：1）确定高龄老人亲子间相互支持交换的模式 二对，以及确定与这些模式相关的人和背景因素。2)审查 支持交流对两个二元组成员所经历的挑战和回报的影响， 环境障碍、文化价值观和人格特质作为调节因素。3)检验…的影响 支持就两个二元组成员的福祉和与护理有关的结果进行交流， 感知的挑战和奖励。为了实现这些目标，将进行半结构化的面对面访谈。 对120个非常老的父母-子女二人组（父母> 95岁;子女> 65岁）进行了研究。混合法分析 数据将涉及定性（主题编码）和定量（多变量;行动者-伙伴相互依存 模型）方法。 本研究的创新之处在于研究了一个未被充分研究的人群中的新现象。研究 研究结果将为我们的干预发展的长期目标提供丰富的线索，使我们 识别我们的目标二元体的独特挑战，并帮助我们阐明特定的人和二元体 这些特征可能影响支持交换/结果，并塑造成对的护理和支持需求。 这一知识库将使我们能够设计或调整干预措施，不仅适合我们的目标群体， 整个但也适用于特定类型的二元体（例如，根据性别组成、族裔/种族群体、特别是 未满足的护理需求）。