Identifying Distinctions and Commonalities between Elder Mistreatment and Late-life IPV: A Study of ADRD Caregiving Dyads

摘要 本申请通过研究补充资料寻求资金，以促进与健康相关的多样性 研究机制(PA-21-071)，并与家长奖R01 AG060096相关。这份副刊将 为南加州大学老年学项目的博士生伊丽莎白·阿文特提供 需要系统的培训、专业发展和指导，以建立一条独立的道路 作为一名老龄化领域的科学家。埃文特女士提议的工作将探索生活中虐待的模式 课程和建立一个数据驱动的晚年亲密伴侣暴力的概念化。 这项家长研究旨在确定老年人虐待(EM)的风险和保护因素 阿尔茨海默病和相关痴呆症(ADRD)及其照顾者：1)跟踪 18个月200名，评估基线和随访期内EM的预测因素；2)有目的地评估50名 选定的照顾者，进行定性访谈，评估他们的社会和工具性支持的广度 网络，并使用健康跟踪技术跟踪1个月；以及3)比较 将患有EM的ADRD患者报告给未怀疑经历EM的ADRD患者。 本拟议补编项下的研究将通过调查 EM的原因和后果是配偶和亲密伴侣二人组独有的，也将有助于 通过探索配偶和亲密伴侣的关系史与父母的关系 DYADS与EM相关。重要的是，这一补充将努力区分由配偶犯下的新奇的EM 或因ADRD照顾双方的晚年亲密伴侣暴力(IPV)而成为亲密伴侣。 使用融合的混合方法设计，该项目将解决三个具体目标： 目标1.描述亲密伴侣/配偶照顾二人组与其他类型的比较 照顾孩子的双胞胎。研究问题：配偶和亲密伴侣在多大程度上 体验EM与那些经历了整个生命过程中的IPV模式的人不同？ 目标2.探索亲密伴侣/配偶照顾双方的关系和生活史 虐待的存在是为了辨别生命过程中的虐待模式，并确定是否存在 EM和IPV在晚年有明显的差异。研究问题：两者之间出现了什么区别 在一生中经历过IPV的配偶和亲密伴侣二人组 体验新奇的EM？ 目的3.调查ADRD的发生和发展可能如何影响虐待或 加剧对亲密伴侣/配偶照顾双方的虐待。研究问题：发病和 ADRD的进展影响配偶和亲密伴侣夫妇虐待的动态和/或方向 IPV的历史？

Abstract This application seeks funding through the Research Supplements to Promote Diversity in Health-Related Research mechanism (PA-21-071) and is associated with parent award R01 AG060096. This supplement will provide Elizabeth Avent, a PhD student in the University of Southern California's Gerontology program, with the systematic training, professional development, and mentorship needed to establish a pathway to independence as a scientist in the field of aging. Ms. Avent's proposed work will explore the patterns of abuse over the life course and build a data-driven conceptualization of late-life intimate partner violence. The parent study aims to identify risk and protective factors for elder mistreatment (EM) among older adults with Alzheimer's Disease and related dementias (ADRD) and their caregivers by: 1) tracking a longitudinal cohort of 200 over 18 months, to assess predictors of EM at baseline and over the follow-up period; 2) with 50 purposively selected caregivers, conduct qualitative interviews, assess the breadth of their social and instrumental support networks, and track for 1 month using health-tracking technology; and 3) compare electronic health records of ADRD patients with reported EM to ADRD patients who are not suspected of experiencing EM. The research under this proposed supplement will contribute to the parent study's Aim 1 by investigating the causes and consequences of EM that are unique to spousal and intimate partner dyads, and will also contribute to the parent study's Aim 2 by exploring the ways that the relationship history of spousal and intimate partner dyads is related to EM. Crucially, this supplement will endeavor to distinguish novel EM perpetrated by a spouse or intimate partner from late-life intimate partner violence (IPV) in ADRD caregiving dyads. Using a convergent mixed-methods design, this project will address three specific aims: Aim 1. Describe the population of intimate partner/spousal caregiving dyads, compared to other types of caregiving dyads. Research Question: To what degree do spousal and intimate partner dyads who experience EM differ from those who have experienced a pattern of IPV across the life course? Aim 2. Explore the relationship and life histories of intimate partner/spousal caregiving dyads in which abuse is present to discern patterns of abuse over the life course and determine whether there are distinct differences between EM and IPV in late life. Research Question: What distinctions emerge between spousal and intimate partner dyads who have experienced IPV across the lifespan versus those who are experiencing novel EM? Aim 3. Investigate how the onset and progression of ADRD may influence the direction of abuse or exacerbate abuse in intimate partner/spousal caregiving dyads. Research Question: Does the onset and progression of ADRD impact the dynamics and/or direction of abuse in spousal and intimate partner dyads with a history of IPV?