A Mixed Methods Investigation of Self-Care of Chronic Illness in Community-Dwelling Older Adults with Hearing Loss

社区听力损失老年人慢性病自我护理的混合方法调查

• 批准号: 10750274
• 负责人: Laura Giambattista Wallace
• 金额: $ 4.77万
• 依托单位: UNIVERSITY OF PENNSYLVANIA
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-09-30 至 2025-06-29
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10750274
• 关键词: Address; Adult; Age; Aging; Asthma; Award; Behavior; Benign; Biometry; Black American; Caring; Chronic; Chronic Care; Chronic Disease; Clinical; Communication Barriers; Communication impairment; Communities; Comprehension; Conceptual Domain; Data; Dementia; Diabetes Mellitus; Disabled Persons; Discipline of Nursing; Disease Progression; Elderly; Enrollment; Environment; Environmental Risk Factor; Future; Goals; Health; Health Care Costs; Health Professional; Health Promotion; Health system; Healthcare; Hearing Aids; Heart failure; Hospitalization; Hospitals; Impaired cognition; Individual National Research Service Award; Inequity; Intervention; Interview; Investigation; Knowledge; Low income; Maintenance; Managed Care; Medical; Mental Depression; Mentorship; Methodology; Methods; Mexican Americans; Minority; Minority Groups; Mission; Modeling; Monitor; National Institute of Nursing Research; National Research Service Awards; Outcome; Ownership; Participant; Persons; Pharmaceutical Preparations; Physical environment; Population; Process; Pure-Tone Audiometry; Qualitative Research; Quality of life; Reporting; Research; Research Methodology; Research Personnel; Research Training; Resources; Role; Sampling; Science; Self Care; Severities; Severity of illness; Social Environment; Social isolation; Surveys; Training; Universities; Weight; biopsychosocial; care delivery; career; clinical development; clinically significant; design; disability; disorder prevention; experience; functional disability; health application; health care settings; health equity; health inequalities; health management; hearing impairment; hearing loss treatment; human old age (65+); improved; low health literacy; mortality; multidisciplinary; outcome disparities; preservation; prevention practice; programs; skill acquisition; skills; standard care; theories; therapy development

Project Summary The goal of this individual National Research Service Award (NRSA) application is to provide the applicant with research training to become an independent investigator addressing disability health equity for older adults with hearing loss (HL) by focusing on the role of hearing loss (HL) in health maintenance practices such as self-care of chronic illness. To achieve this goal, training will occur in a resource rich environment with support from a multidisciplinary mentorship team with expertise in HL, nursing, aging, disability health equity, health promotion, chronic illness, biostatistics, mixed methods, and qualitative research. The applicant proposes a training plan that includes coursework, practical training, seminars, and engagement in ongoing research. Specific training goals of this award include: 1) Gain a foundational understanding of the principles of health equity research, focusing on disability health equity, 2) Continue developing the methodological and analytical qualitative, quantitative, and mixed methods skills required to conduct rigorous mixed methods research, 3) Develop theoretical and conceptual knowledge in the science of HL, aging, chronic illness, and self-care to support empirical investigation and intervention development, and 4) Acquire professional development skills to support a career as an independent investigator at a research-intensive university. The research proposed for this NRSA addresses the role of HL in self-care of chronic illness. Millions of older adults have clinically meaningful HL and a chronic illness. Self-care is a cornerstone of health promotion and management chronic illness. Yet, the impact of HL on self-care of chronic illness is not well understood. Using an integrated biopsychosocial model of disability and self-care as the guiding framework, the applicant will examine the role of HL in self-care of chronic illness. This study proposes the following aims: 1) Describe self-care behaviors in older adults with unaided HL and compare self-care behaviors by HL severity, 2) Explore the experience of caring for chronic illness while having unaided HL, and how HL impacts self-care, and 3) Describe differences in the experiences of self-care of chronic illness by self-care behavior scores and HL severity. This mixed methods study will use a parallel-convergent design to enroll a single sample of community-dwelling hospitalized older adults with a chronic illness and unaided HL. The proposed study aligns with the priorities of the National Institute of Nursing Research by advancing health equity for people with disabilities, through addressing health promotion and disease prevention in older adults with HL. Having a greater understanding of how HL influences self-care behaviors will support the development of interventions enabling older adults with HL to maximize health through self-care.

项目摘要 这个个人国家研究服务奖（NRSA）申请的目标是提供 申请人接受过研究培训，成为独立调查员，解决残疾人健康公平问题， 通过关注听力损失（HL）在健康维护实践中的作用， 例如慢性病的自我护理。为了实现这一目标，培训将在资源丰富的环境中进行， 来自多学科导师团队的支持，他们在HL，护理，老龄化，残疾健康公平， 健康促进、慢性病、生物统计学、混合方法和定性研究。申请人 提出一个培训计划，包括课程，实践培训，研讨会，并参与正在进行的 research.该奖项的具体培训目标包括：1）获得对以下原则的基本理解： 健康公平研究，重点是残疾人健康公平，2）继续制定方法， 分析定性，定量和混合方法的技能，需要进行严格的混合方法 研究，3）发展HL、衰老、慢性病科学的理论和概念知识，以及 自我保健，以支持实证调查和干预发展，以及4）获得专业 发展技能，以支持在研究密集型大学作为独立调查员的职业生涯。 这项NRSA的研究提出了HL在慢性病自我护理中的作用。数百万 老年人具有临床意义的HL和慢性疾病。自我保健是促进健康的基石 管理慢性病。然而，HL对慢性病自我护理的影响还没有得到很好的理解。 使用残疾和自我护理的综合生物心理社会模型作为指导框架，申请人 将研究HL在慢性病自我护理中的作用。本研究提出以下目的：1）描述 无辅助HL老年人的自我护理行为，并按HL严重程度比较自我护理行为，2）探索 护理慢性病的经验，同时有独立的HL，以及HL如何影响自我护理，和3） 以自我照顾行为评分及HL描述慢性病自我照顾经验的差异 严重性。这项混合方法研究将采用平行收敛设计，招募 患有慢性疾病和无辅助HL的社区住院老年人。拟议的研究与 与国家护理研究所的优先事项，通过促进健康公平的人， 残疾，通过解决健康促进和疾病预防的老年人与HL。具有 更深入地了解HL如何影响自我护理行为将支持干预措施的发展 使老年HL患者能够通过自我护理最大限度地提高健康水平。