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Older Mothers and Adult Daughters: High Blood Pressure Self Management Behaviors

高龄母亲和成年女儿：高血压自我管理行为

基本信息

批准号：
7812207
负责人：
Celeste Shawler
金额：
$ 8.66万
依托单位：
UNIVERSITY OF LOUISVILLE
依托单位国家：
美国
项目类别：
财政年份：
2008
资助国家：
美国
起止时间：
2008-05-01 至 2012-04-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7812207
关键词：
Adult Adult Children Aerobic Age Aging American Behavior Blood Blood Pressure Cardiovascular Diseases Cardiovascular system Cause of Death Characteristics Cholesterol Chronic Disease Cognitive Comorbidity Daughter Development Diagnosis Diet Discipline of Nursing Eating Education Elderly Environment Exhibits Fatty acid glycerol esters Geriatric Nursing Goals Health Health behavior Healthy People 2010 Heart Diseases Heart failure Hypertension Intake Intervention Intervention Studies Kentucky Knowledge Life Measures Mediating Mentors Mothers Myocardial Infarction Nurses Outcome Pennsylvania Philadelphia Physical activity Prevention Prevention strategy Primary Prevention Prophylactic treatment Publications Quality Control Recording of previous events Research Research Design Research Personnel Research Training Risk Risk Factors School Nursing Secondary Prevention Self Management Sodium Stroke Time Training Programs United States Weight Woman Work base college design experience fruits and vegetables health related quality of life improved killings lifestyle intervention meetings nursing intervention older women physical conditioning prevent professor programs theories

项目摘要

DESCRIPTION (provided by applicant): Heart disease is the leading cause of death in American women. Kentucky ranks as the 6 highest state in the nation for heart disease among women. This program of research will advance the initiatives of Healthy People 2010 by assisting women to develop self management behaviors to reduce and moderate hypertension, a major risk factor for heart disease. The long-term aim of this program of research is to determine the causal relationships of inner strength, perceived control, and quality of the relationship of older mothers and their adult daughters so that nursing interventions can be developed to improve cardiovascular self management behaviors and health related quality of life. The specific aim of this longitudinal predictive study is to determine the impact of inner strength, perceived control, and the quality of the relationship of older mothers and their adult daughters on blood pressure self management behaviors and health related quality of life. To achieve these goals, the candidate has designed a comprehensive training program with experienced nurse researchers who will facilitate the development of the candidate's expertise in the theoretical perspectives of chronic illness management, specifically blood pressure self management, and health related quality of life. The candidate will complete formal coursework and planned interactions and meetings with mentors and consultants. In addition, the candidate will participate in on-going research seminars, prepare and submit scientific publications, and present at scientific sessions. Mentors will be Dr. Debra Moser, Professor, U. of Kentucky and Dr. Neville Strumpf, Professor, U. of Pennsylvania. The proposed training and research environments are: the College of Nursing and Sanders Brown Center on Aging at the U. of Kentucky, Lexington, Kentucky; Hartford Center for Geriatric Nursing Excellence: U. of Pennsylvania, Philadelphia, Pennsylvania; and U. of Louisville School of Nursing, Louisville, Kentucky. The candidate will apply the knowledge gained from the training program to develop a program of research designed to enhance blood pressure self management behaviors of older women with hypertension. The aims of the proposed study are to: (1) Use dyadic analysis to examine the direct (i.e., 'actor') and indirect (i.e., 'partner') effects of mothers' and daughters' inner strength on the outcomes of self management strategies for blood pressure and health related quality of life in both mothers and daughters measured at baseline and 6 months later, and to determine whether there are significant changes over time in the outcomes; (2) To determine, using dyadic analysis, whether perceived control mediates the relationship between inner strength and outcomes in mothers and daughters; (3) To determine, using dyadic analysis, whether the mother-daughter relationship mediates the relationship between inner strength and outcomes in mothers and daughters; (4) To determine, using dyadic analysis, if there is a significant relationship between perceived control and quality of the mother-daughter relationship. The findings from this study will be used to support a program of theory-based nursing intervention studies designed to increase blood pressure self management behaviors of mother-daughter dyads when the older woman is diagnosed with hypertension. The adult daughter may or may not be diagnosed with hypertension and the study is designed to compare relationships whether or not daughters are diagnosed with hypertension. Previous work by the candidate demonstrated that inner strength was a key concept for older women and their adult daughters in managing health crisis. The candidate plans to further examine the significance of inner strength and modifiable health behaviors of older women with hypertension.

描述（由申请人提供）：心脏病是美国女性死亡的主要原因。肯塔基州在全美女性心脏病发病率最高的州中排名第六。该研究计划将通过帮助女性发展自我管理行为来减少和缓解高血压这一心脏病的主要危险因素，从而推进“2010年健康人”计划。该研究计划的长期目标是确定高龄母亲与其成年女儿的内在力量、感知控制和关系质量之间的因果关系，以便制定护理干预措施，以改善心血管自我管理行为和健康相关的生活质量。这项纵向预测研究的具体目的是确定内在力量、感知控制以及高龄母亲与其成年女儿的关系质量对血压自我管理行为和健康相关生活质量的影响。为了实现这些目标，候选人与经验丰富的护士研究人员一起设计了一个全面的培训计划，这些计划将促进候选人在慢性病管理理论方面的专业知识的发展，特别是血压自我管理和健康相关的生活质量。候选人将完成正式的课程作业以及计划与导师和顾问的互动和会议。此外，候选人将参加正在进行的研究研讨会，准备和提交科学出版物，并出席科学会议。导师为肯塔基大学教授 Debra Moser 博士和宾夕法尼亚大学教授 Neville Strumpf 博士。拟议的培训和研究环境是：肯塔基州列克星敦肯塔基大学护理学院和桑德斯·布朗老龄化中心；哈特福德老年护理卓越中心：宾夕法尼亚大学，宾夕法尼亚州费城；和肯塔基州路易斯维尔路易斯维尔大学护理学院。候选人将运用从培训计划中获得的知识来制定一项研究计划，旨在增强患有高血压的老年女性的血压自我管理行为。拟议研究的目的是：（1）使用二元分析来检查母亲和女儿的内在力量对基线和6个月后测量的母亲和女儿的血压和健康相关生活质量的自我管理策略结果的直接（即“行动者”）和间接（即“伴侣”）影响，并确定结果是否随着时间的推移而发生显着变化； (2) 使用二元分析确定感知控制是否调节母亲和女儿的内在力量和结果之间的关系；（3）利用二元分析确定母女关系是否在母亲和女儿的内在力量和结果之间发挥中介作用； (4) 使用二元分析确定感知控制与母女关系质量之间是否存在显着关系。这项研究的结果将用于支持一项基于理论的护理干预研究计划，旨在提高老年妇女被诊断患有高血压时母女两人的血压自我管理行为。成年女儿可能会或可能不会被诊断出患有高血压，该研究旨在比较女儿是否被诊断为高血压的关系。该候选人之前的工作表明，内在力量是老年妇女及其成年女儿应对健康危机的关键概念。该候选人计划进一步研究患有高血压的老年女性的内在力量和可改变的健康行为的重要性。