P0045982 Late Life Disability: Epidemiology, Symptoms, Quality of Life

P0045982 晚年残疾：流行病学、症状、生活质量

• 批准号: 8870259
• 负责人: Alexander Keliimoeanu Smith
• 金额: $ 13.42万
• 依托单位: UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-09-01 至 2017-11-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8870259
• 关键词: Address; Adult; African American; Age; Aging; American; Anxiety; Attention; Award; Birds; Caregiver Burden; Cessation of life; Characteristics; Chinese American; Clinic; Clinical Skills; Cognitive; Cohort Studies; Communities; Data; Dependency; Disabled Persons; Discipline; Elderly; Epidemiology; Ethics; Ethnic Origin; European; Event; Female; Fright; Funding; Future; Gender; Geriatrics; Goals; Grant; Health; Hospitalization; Individual; Intervention; Interview; Knowledge; Latino; Lead; Leadership; Length; Life; Life Experience; Longitudinal Studies; Malignant Neoplasms; Measures; Mental Depression; Mission; Modeling; Palliative Medicine; Patients; Persons; Pilot Projects; Policies; Policy Maker; Population Heterogeneity; Positioning Attribute; Psychological Factors; Publishing; Quality of life; Recruitment Activity; Religion and Spirituality; Research; Research Personnel; Research Training; Retirement; Sample Size; Sampling; San Francisco; Services; Social Health Services; Source; Structure; Symptoms; Testing; Time; Training; career; cognitive function; cohort; coping; design; disability; disability burden; end of life; experience; falls; functional disability; gender minority; home based service; improved; longitudinal analysis; peace; psychosocial; resilience; skills; social; symposium

DESCRIPTION (provided by applicant): As many as 18 million Americans over age 65 suffer from some form of disability or functional impairment. Yet little is known about how long elders will live with disability prior to death, information that is important for planning from the perspectives of both patients and policy makers. Furthermore, while disability is widely assumed to negatively impact quality of life, quality of life concerns of elders with late life disability ave not been well described. The research aims are (1) using the NIA funded Health and Retirement Study, to provide the first nationally representative estimates of the amount of time elders spend in disabled states prior to death, and examine how key demographic characteristics impact this amount of time; (2) using a cross sectional primary data study, to test and refine a conceptual model of quality of life for disabled elders; (3) to pilot a longitudinal study of factors influencng quality of life over time. The candidate will leverage the diverse population of elders in San Francisco by recruiting subjects for Aims 2 and 3 from On Lok, the San Francisco Department of Aging and Adult Services, and UCSF affiliated clinic and home based services for older adults. This research topic is suited to the candidate's overarching goal of becoming a national leader at the geriatrics/palliative medicine interface. The candidate does not have formal training in the principles of geriatrics research, psychosocial aspects of aging and quality of life, longitudinal studies, and leadership. Through a mixture of coursework, structured tutorials, and conferences, over the course of the award period the candidate will: (1) improve clinical skills and knowledge in geriatrics; (2) gain skills in psychosocial aspects of aging and quality of life research; (3) acquire skills and experience in the design, assembly, and analysis of longitudinal cohort studies in diverse populations; and (4) become a leading aging researcher at the interface of geriatrics and palliative medicine.

描述（由申请人提供）：多达1800万65岁以上的美国人患有某种形式的残疾或功能障碍。然而，人们对老年人在死亡前将残疾生活多久知之甚少，这些信息对于从患者和政策制定者的角度进行规划非常重要。此外，虽然残疾被广泛认为会对生活质量产生负面影响，但老年人晚年残疾的生活质量问题尚未得到很好的描述。研究目的是：（1）利用NIA资助的健康与退休研究，提供第一个具有全国代表性的老年人死亡前在残疾状态下度过的时间的估计，并研究关键人口特征如何影响这一时间;（2）利用横截面原始数据研究，测试和完善残疾老年人生活质量的概念模型;（3）对影响生活质量的因素进行纵向研究。候选人将通过从安乐、旧金山弗朗西斯科老龄化和成人服务部以及加州大学旧金山分校附属诊所和老年人家庭服务机构招募目标2和目标3的受试者，来利用旧金山弗朗西斯科不同的老年人口。该研究课题适合候选人的总体目标，即成为老年医学/姑息医学接口的国家领导者。候选人没有接受过正式培训 在老年医学研究，老龄化和生活质量，纵向研究和领导的心理社会方面的原则。通过课程，结构化教程和会议的混合物，在奖励期间，候选人将：（1）提高老年医学的临床技能和知识;（2）获得老龄化和生活质量研究的心理社会方面的技能;（3）获得在不同人群中设计，组装和分析纵向队列研究的技能和经验;（4）成为老年医学和姑息医学界面的领先衰老研究者。