Mental Health Experiences of Hispanic and Latinx ADRD Caregivers

西班牙裔和拉丁裔 ADRD 护理人员的心理健康经历

• 批准号: 10617311
• 负责人: Frank Puga
• 金额: $ 61.75万
• 依托单位: UNIVERSITY OF ALABAMA AT BIRMINGHAM
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-05-15 至 2027-04-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10617311
• 关键词: Acculturation; Address; Admission activity; Affect; Aging; Alzheimer' s disease related dementia; Anxiety; Automobile Driving; Behavioral; Behavioral Symptoms; Caregivers; Cross-Cultural Comparison; Dementia; Dementia caregivers; Development; Distal; Elderly; Enrollment; Ethnic Origin; Family Caregiver; Funding; Health; Health Disparities Research; Hispanic; Hispanic Populations; Impairment; Individual; Individual Differences; Intervention; Investigation; Knowledge; Latinx; Latinx population; Link; Masks; Measures; Mental Depression; Mental Health; Modeling; Not Hispanic or Latino; Nursing Homes; Outcome; Participant; Pattern; Personal Satisfaction; Persons; Population; Process; Psychopathology; Questionnaires; Race; Reporting; Research; Research Design; Risk; Risk Reduction; Sampling; Severities; Stress; Surveys; Symptoms; Testing; Time; Underrepresented Populations; United States National Institutes of Health; Variant; Work; anxiety symptoms; caregiving; clinically significant; daily functioning; depressive symptoms; design; diaries; disability; ethnic diversity; experience; high risk; individual variation; informal caregiving; innovation; multilevel analysis; peer; persistent symptom; poor health outcome; promote resilience; protective factors; psychologic; racial diversity; resilience; social culture; sociocultural determinant; stressor; theories

Project Summary/Abstract Hispanic and Latinx (H&L) family caregivers of individuals living with Alzheimer’s disease and related dementias (ADRDs) are uniquely at risk for poor mental health outcomes due to increased stress associated with earlier ADRD onset and increased severity of symptoms among the H&L population. While the link between caregiving- related stress and health outcomes is well-documented among the general ADRD caregiver population, limited knowledge on dynamic predictors of H&L ADRD caregiver mental health trajectories exists. Further, the interactions between risk/protective and cultural factors that increase resilience and reduce the risk of poor mental health outcomes over time are relatively unknown. The purpose of this study is to investigate how interactions between contextual, individual-level, and cultural factors impact daily and long-term patterns of depression and anxiety symptoms among H&L caregivers. Using an innovative, multi-time scale design and analytical strategy grounded in resilience theory, we will examine intra-individual variability (e.g., fluctuations in daily experiences) and inter-individual differences (e.g., variations within distinct groups such as those with high levels of acculturation vs. those with low levels) and possible relationships among them. We will use multilevel modeling and group-based trajectory modeling to test the hypothesis that contextual, individual-level, and cultural factors interact to impact daily and long-term patterns of mental health outcomes among H&L ADRD caregivers. To test this hypothesis, we propose the following aims: (1) to examine contextual, individual-level, and cultural factors that impact the day-to-day mental health experiences of H&L ADRD caregivers; (2) to characterize mental health developmental trajectories among H&L ADRD caregivers using group-based trajectory modeling, and (3) to determine risk/protective factors and mental health trajectories that predict distal health outcomes among H&L ADRD caregivers. Results from this study will inform a dynamic framework of H&L ADRD caregiver mental health by identifying modifiable intervention targets associated with resilience over time. This study represents a critical step forward in developing effective, culturally sensitive interventions to support the health and well-being of H&L ADRD caregivers who are underrepresented and underserved in the field of aging.

项目总结/摘要 患有阿尔茨海默病和相关痴呆症的西班牙裔和拉丁裔（H&L）家庭照顾者 （ADRD）是唯一的风险，由于与早期相关的压力增加，精神健康结果不佳 H&L人群中ADRD发作和症状严重程度增加。当两个人之间的联系- 相关的压力和健康结果在一般ADRD照顾者人群中有充分的记录， 存在关于H&L ADRD照顾者心理健康轨迹的动态预测因子的知识。此夕h 提高复原力和减少贫困风险的风险/保护因素与文化因素之间的相互作用 随着时间的推移，心理健康结果相对未知。本研究的目的是探讨如何 背景、个人水平和文化因素之间的相互作用影响着日常和长期的 H&L照顾者的抑郁和焦虑症状。采用创新的多时间尺度设计， 基于弹性理论的分析策略，我们将研究个体内的变异性（例如，波动 日常经历）和个体间差异（例如，不同群体之间的差异，如高 文化适应水平与文化适应水平低的人）以及他们之间可能的关系。我们将使用多层次 模型和基于组的轨迹模型来检验假设，即上下文，个人层面，和文化 影响H&L ADRD照顾者心理健康结果的日常和长期模式的因素相互作用。 为了验证这一假设，我们提出了以下目标：（1）考察语境，个人层面，和文化 影响H&L ADRD照顾者日常心理健康经历的因素;（2）表征心理健康状况， 使用基于组的轨迹建模的H&L ADRD照顾者的健康发展轨迹，以及（3） 确定风险/保护因素和心理健康轨迹，预测H&L患者的远端健康结果 ADRD护理人员。本研究的结果将为H&L ADRD照顾者心理健康的动态框架提供信息 通过确定与随着时间的推移的复原力相关的可修改的干预目标。这项研究代表了一个关键的 在制定有效的，文化敏感的干预措施，以支持H&L的健康和福祉方面向前迈进 在老龄化领域代表性不足和服务不足的ADRD护理人员。