UTMB Clinical and Translational Science Award

UTMB 临床和转化科学奖

基本信息

批准号：
10295495
负责人：
Randall J Urban
金额：
$ 21.58万
依托单位：
UNIVERSITY OF TEXAS MED BR GALVESTON
依托单位国家：
美国
项目类别：
财政年份：
2015
资助国家：
美国
起止时间：
2015-08-18 至 2025-03-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10295495
关键词：
Affect Age Area Biometry Career Mobility Caregivers Caring Clinical Research Clinical and Translational Science Awards Cognition Couples Data Dementia Dementia caregivers Development Family Caregiver Family member Health and Retirement Study Healthcare Healthcare Systems Hispanics Individual Intervention Interview Learning Link Medicare Medicare claim Mentors Methodology Methods Modeling Not Hispanic or Latino Outcome Outcome Study Personal Satisfaction Persons Program Development Research Research Project Grants Resources Role Scientist Source Spouse Caregiver Spouses Stress Structure Surveys Time Training Training Activity Translating Translational Research Universities Woman career caregiving dementia care dementia caregiving disparity reduction expectation family caregiving gender difference health disparity improved improved outcome leadership development population based programs skills therapy design trait

项目摘要

Abstract More than 34 million individuals in the USA provide unpaid care for someone over the age of 50. The majority are women and 50% provide care to persons with dementia (PwD). Hispanic caregivers differ in important ways from Non-Hispanic caregivers. The caregiver role is a cultural expectation among Hispanics and caregiving by the family is preferred over professional caregiving. However, we know little about how the unique traits and resources of Hispanics affect their well-being when they assume a caregiving role. This Diversity supplement will support a Hispanic clinician-scientist and help him become independent. It will provide training in mixed methods to translate findings from population-based data linked to health-care claims into interventions to improve the well-being of Hispanics with dementia and their caregivers. The approach is to focus on couples in which a spouse provides care to their partner with dementia. The proposed program targets 4 areas of training to help the candidate develop an independent clinical and research career focused on the well-being of Hispanic dementia caregivers: Combining sources of data to identify factors that affect outcomes among Hispanic caregivers; Acquiring new methodological skills to explore change over time; Disseminating and implementing research findings on Hispanic caregivers in healthcare systems; and Career advancement and leadership development. The specific aims for the Diversity supplement research component are: 1) Analyze wellbeing and healthcare use of Hispanics caring for a spouse with dementia. 2) Explore Hispanic dementia caregivers' needs in the candidate's University healthcare system using semi- structured interviews. Aim 1 will use the Health and Retirement Study data linked to Medicare for 2010-2018. Aim 2 will consist of semi-structured interviews of Hispanic caregivers. Completing these specific aims and training activities will make the candidate competent in: statistical and analytical skills to study the outcomes related to caregiving among Hispanics with survey data and healthcare claims; and qualitative methodologies to understand the challenges of Hispanic caregivers and design interventions to improve their well-being. The development program includes working with a group of experts in the areas of Hispanic cognition and health disparities, training in the use of Medicare claims data, learning new biostatistical methodologies, developing expertise in the challenges of dementia caregiving, couples' models and translational research. The expected outcomes are a rigorous mixed-methods study of Hispanic dementia caregivers and development of an independent research program. Data from the research project and skills obtained through the mentored program will lead to an application for an NIA R01 that will implement and evaluate interventions to improve outcomes of Hispanics with dementia and their family caregivers.

抽象的在美国，有超过 3400 万人为 50 岁以上的人提供无偿护理。大多数人是女性，50% 为痴呆症患者 (PwD) 提供护理。西班牙裔护理人员在重要方面存在差异来自非西班牙裔护理人员的方式。照顾者的角色是西班牙裔美国人的文化期望家庭护理优于专业护理。然而，我们对如何西班牙裔人的独特特征和资源会影响他们在承担看护角色时的福祉。这多样性补充品将支持西班牙裔临床医生科学家并帮助他变得独立。它将提供混合方法培训，以转化与医疗保健相关的人口数据的结果声称采取干预措施来改善患有痴呆症的西班牙裔及其照顾者的福祉。这方法是重点关注配偶为患有痴呆症的伴侣提供护理的夫妇。拟议的计划针对 4 个培训领域，帮助候选人发展独立的临床和研究职业关注西班牙裔痴呆症护理人员的福祉：结合数据源来确定影响西班牙裔痴呆症护理人员健康的因素影响西班牙裔护理人员的结果；获得新的方法论技能来探索变革时间;传播和实施有关医疗保健系统中西班牙裔护理人员的研究结果；和职业进步和领导力发展。多样性补充研究的具体目标组成部分包括： 1) 分析照顾患有痴呆症的配偶的西班牙裔人的福祉和医疗保健使用情况。 2）使用半技术探索候选人大学医疗保健系统中西班牙裔痴呆症护理人员的需求结构化面试。目标 1 将使用与 2010-2018 年 Medicare 相关的健康和退休研究数据。目标 2 将包括对西班牙裔护理人员的半结构化访谈。完成这些具体目标并培训活动将使候选人具备以下能力：研究结果的统计和分析技能与西班牙裔护理相关的调查数据和医疗保健索赔；和定性方法了解西班牙裔护理人员面临的挑战并设计干预措施以改善他们的福祉。该开发计划包括与西班牙裔认知和认知领域的一组专家合作。健康差异、医疗保险索赔数据使用培训、学习新的生物统计方法、发展应对痴呆症护理、夫妻模式和转化研究挑战的专业知识。预期结果是对西班牙裔痴呆症护理人员和患者进行严格的混合方法研究制定独立的研究计划。来自研究项目的数据和通过以下方式获得的技能指导计划将导致 NIA R01 的申请，该 NIA R01 将实施和评估旨在改善西班牙裔痴呆症患者及其家庭护理人员预后的干预措施。