Dementia Caregiving: Burden and Help-Seeking in Latinos

描述(由申请人提供)：这位接受指导的病人的目的- 定向研究职业发展奖是为了进一步促进我的成长 研究技能，使我能够成为一名独立的、多产的研究人员 专注于减轻家庭照顾负担和改善对拉丁裔的照顾 患有痴呆症相关精神和行为障碍的老年人。本奖项 直接建立在我在医学人类学、卫生服务方面的培训之上 研究和老年精神病学。 职业发展五年计划强调四个方面：1) 纵向定量方法和分析，2)定性方法和 分析，3)拉丁裔家庭照料的文化层面，以及4) 老年痴呆症的评估和管理的老年心理方面。五种不同的 强调学习方式：a)正式课程作业，b)受监督 阅读教程，c)研究座谈会和研讨会，d)现场和场外 与导师打成一片。最后，也是最重要的一种方式是监督 制定和实施一项纵向研究项目。 我提出的研究项目是一个为期三年的调查，包括 评估家庭照顾者负担的定性和定量方法 老年人的面孔以及他们向哪里寻求帮助。这个项目的具体目标是 A)确定因素(例如，疾病特征、照顾者 特征、疾病含义、社会网络特征、可获得性 当地医疗保健系统)，影响拉美裔家庭是否以及在哪里 对于痴呆症的神经精神症状寻求帮助，以及b)检查精神 健康后果(例如，护理者因神经精神症状而劳累)。 抑郁症状，痛苦的文化习语)痴呆的神经精神病学 家庭照顾者的症状。 本修订版中概述的学习目标和职业发展活动 申请将使我成为一名成功的独立调查员 少数族裔老龄化，痴呆症评估和管理的临床专家 相关的精神和行为障碍，以及下一步的导师 新一代调查人员。

DESCRIPTION (provided by applicant): The purpose of this Mentored Patient- Oriented Research Career Development Award is to further the growth of my research skills so that I can become an independent and productive researcher focused on reducing family caregiving burden and improving care for Latino elderly with dementia-related mental and behavioral disturbances. This Award builds directly on my training in medical anthropology, health services research, and geropsychiatry. The five-year plan for career development emphasizes four areas: 1) longitudinal quantitative methods and analysis, 2) qualitative methods and analysis, 3) cultural dimensions of Latino family caregiving, and 4) geropsychiatric aspects of dementia assessment and management. Five different learning modalities are emphasized: a) formal coursework, b) supervised reading tutorials, c) research colloquia and seminars, and d) on and off-site practical with mentors. The final and most important modality is supervised development and implementation of a longitudinal research project. The research project I propose is a three-year investigation that integrates qualitative and quantitative methods to assess burdens that family caregivers of elderly face and where they turn for help. This project's specific aims are a) to identify factors (e.g., disease characteristics, caregiver characteristics, illness meanings, social network features, accessibility Of the local health care system) that influence whether and where Latino families seek help for dementia neuropsychiatric symptoms, and b) to examine the mental health consequences (e.g., caregiver strain due to neuropsychiatric symptoms. depressive symptoms, cultural idioms of distress) of dementia neuropsychiatric symptoms on family caregivers. The learning goals and career development activities outlined in this revised application will equip me to be a successful and independent investigator in minority aging, a clinical expert in assessing dementia and in managing related mental and behavioral disturbances, and a mentor for the next generation of investigators.