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

基本信息

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
项目类别：
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

项目摘要

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.

项目摘要该个人国家研究服务奖（NRSA）申请的目标是提供接受研究培训的申请人成为一个独立研究者，以解决残疾健康公平的解决方案通过关注听力损失（HL）在健康维持实践中的作用（HL），老年人有听力损失（HL）例如慢性病的自我保健。为了实现这一目标，培训将在丰富的资源环境中进行拥有HL，护理，老龄化，残疾健康平等的多学科指导团队的支持，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，研讨会和参与研究。该奖项的具体培训目标包括：1）对健康公平研究，专注于残疾健康公平，2）继续发展方法论和进行严格混合方法所需的分析定性，定量和混合方法技能研究，3）在HL，衰老，慢性病和支持实证研究和干预发展的自我保健，以及4）获得专业发展技能，以支持研究密集于大学的独立研究者职业。该NRSA提出的研究探讨了HL在慢性疾病自我护理中的作用。数百万老年人患有临床有意义的HL和慢性病。自我护理是健康促进的基石和管理慢性病。然而，HL对慢性病自我保健的影响尚不清楚。申请人使用综合的残疾和自我保健的生物心理社会社会模型作为指导框架将检查HL在慢性疾病自我护理中的作用。这项研究提出了以下目的：1）描述老年人的自我保健行为，具有独立HL并通过HL严重性比较自我保健行为，2）探索在综合HL时照顾慢性病，HL如何影响自我护理的经验以及3）描述通过自我保健行为得分和HL的自我保健自我护理经历的差异严重程度。这项混合方法研究将使用平行构造设计来注册单个样本社区住院的老年人患有慢性疾病和无助的HL。拟议的研究对齐在国家护理研究所的优先事项中，通过为患有的人提供卫生公平通过解决HL老年人的健康促进和预防疾病，残疾。有一个对HL如何影响自我保健行为的更多了解将支持干预措施的发展使患有HL的老年人能够通过自我保健最大化健康。