Improving Care at the End of Life for Latinos:A Cultural Navigator Intervention

改善拉丁裔临终关怀：文化导航干预

• 批准号: 7475060
• 负责人: STACY M FISCHER
• 金额: $ 18.07万
• 依托单位: UNIVERSITY OF COLORADO DENVER
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-07-15 至 2011-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7475060
• 关键词: Address; Advance Care Planning; Advance Directives; Advanced Malignant Neoplasm; Age; Age-Years; Aged, 80 and over; Area; Behavioral Sciences; Cancer Intervention; Caring; Cessation of life; Chronic; Clinical Research; Colorado; Commit; Communities; Community Health; Community Participation; Control Groups; Data; Development; Doctor of Philosophy; Effectiveness of Interventions; Elderly; Environment; Ethnic group; Failure; Family; Fellowship Program; Funding; Goals; Grant; Health Services Research; Health Services for the Aged; Hospice Care; Institution; Internal Medicine; Intervention; Intervention Studies; K-Series Research Career Programs; Latino; Lead; Life; Measurement; Mentorship; Methodology; Methods; Outcome; Outcome Measure; Pain management; Palliative Care; Patient Education; Patients; Persons; Phase; Population; Primary Health Care; Process; Provider; Publishing; Quality of life; Randomized; Randomized Controlled Trials; Research; Research Personnel; Resources; Sample Size; Services; Testing; Time; Training; Underserved Population; United States; Ursidae Family; Withdrawal; Work; base; care preference; cost; cost effectiveness; cultural values; design; end of life; end of life care; ethnic minority population; experience; health disparity; hospice environment; improved; innovation; meetings; member; older patient; preference; satisfaction; symptom management; therapy design; treatment as usual

DESCRIPTION (provided by applicant): Candidate: The candidate, Stacy M. Fischer, MD, is committed to becoming an independently-funded researcher in the area of cross-cultural end-of-life care. Her background includes previous work with underserved populations, experience in the clinical and research aspects of end-of-life care, with a specific focus on elderly patients, and training in Internal Medicine and Geriatrics. Currently, Dr. Fischer is supported by the National Brookdale Fellowship Program and an NCI/NIA P20 pilot grant and completing a qualitative and quantitative study of cultural preferences for end-of-life care. The NIA/Beeson K23 Career Development Award will provide her the protected time and the resources to study the efficacy of implementing a cultural navigator intervention designed to improve end-of-life care for elderly Latinos. Environment: The mentorship and institutional resources available to Dr. Fischer are exceptional. Jean Kutner, MD, MSPH, the sponsor, and Andrew Kramer, MD, Al Marcus, PhD, and Angela Sauaia, MD, PhD, the co-sponsors, will impart their respective expertise in end-of-life care, geriatrics, health services research, patient-navigation interventions, behavioral science, and cross-cultural research. Research Plan: The overall goal of the proposed study is to improve end-of-life care for seriously ill older. Latinos through a cultural navigator, or guia, delivering a culturally tailored intervention. The first step of the project is to develop, through a multi-step process involving community members and experts in the field, the materials needed for the intervention and to train the guia. The next phase of the project is a vanguard randomized controlled trial of the cultural navigator intervention, targeting Latinos with advanced cancer. The intervention is designed to assess the feasibility of conducting a fully powered randomized controlled trial of the intervention by determining withdraw rates, and estimating rates of Advance Care Planning, improved pain management, and utilization of hospice care. The proposed study also includes development of a method to assess the cost-effectiveness of the intervention versus usual care.

描述（由申请人提供）：候选人：候选人，Stacy M. Fischer， MD，致力于成为一名独立资助的跨文化临终关怀领域的研究人员。她的背景包括以前服务不足人群的工作，临终关怀的临床和研究方面的经验，特别关注老年患者，以及内科和老年病学方面的培训。目前，Fischer博士获得了国家布鲁克代尔奖学金计划和NCI/NIA P20试点资助，并完成了一项关于临终关怀文化偏好的定性和定量研究。NIA/Beeson K23职业发展奖将为她提供受保护的时间和资源，以研究实施旨在改善老年拉丁美洲人临终关怀的文化导航员干预的效果。环境：费舍尔博士获得的指导和机构资源是独一无二的。Jean Kutner，医学博士，MSPH，赞助商，Andrew Kramer，医学博士，Al Marcus，博士和Angela Sauaia，医学博士，博士