ARTHRITIS AND DAILY LIFE

关节炎与日常生活

• 批准号: 3068443
• 负责人: LOIS M VERBRUGGE
• 金额: $ 6.13万
• 依托单位: UNIVERSITY OF MICHIGAN AT ANN ARBOR
• 依托单位国家: 美国
• 财政年份: 1987
• 资助国家: 美国
• 起止时间: 1987-09-01 至 1990-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/3068443
• 关键词: arthritis; body physical activity; chronic disease /disorder; connective tissue disorder diagnosis; coping; disabling disease; gender difference; health behavior; health surveys; human middle age (35-64); human morbidity; human old age (65+); interview; marriage /marital status; musculoskeletal disorder diagnosis; osteoarthritis; questionnaires; rheumatism; social psychology

Arthritis pervades all facets of older people's health --it is their most prevalent and symptomatic chronic condition, the first or second rank cause of social limitations for them, and a common reason for ambulatory care. A progressive nonfatal condition with persistent or flare-up symptoms, arthritis accompanies many years of later life. It is thus central to older people's health and quality of life. This application comes from a social demographer with knowledge in sex and social differentials in health and mortality, and technical skills in health survey design and analysis. The SERCA goals are: (1) to gain scholastic and practical training in biomedical, clinical, and epidemiological facets of arthritic diseases, and more broadly the rheumatic diseases, and (2) to design and conduct collaborative research projects by social and biomedical scientists interested in the impact of arthritis on people's physical and social functioning and in strategies of medical and personal care that relieve discomfort and improve functioning. The training component will focus on: the pathology of osteoarthritis and other arthropathies; chronic back disorders, connective tissue diseases, and gout; differential diagnosis of rheumatic diseases; clinical procedures for diagnosis and functional assessment; how medical teams determine strategies of patient care and monitor outcomes; epidemiology and nosology of musculoskeletal conditions; and selected epidemiological research methods. The P.I.'s personal research aim is to bring together social and medical perspectives of arthritis into population based surveys in a brand-new way. A nascent plan is to conduct a state or regional survey of middle- aged and older noninstitutional people, focusing on arthritis and one or two nonfatal chronic conditions. The arthritis protocol would include questions about symptoms, disability, and routines of care, interviewer-conducted functional assessments, and health diaries for a month or longer. The survey would reveal (i) physical bases for social disabilities (esp. activities of daily living) and (ii) the short term dynamics of arthritis symptoms and care aimed at them. Design extensions to include medical diagnoses of arthropathy, and to resurvey respondents after 1-2 years to capture longer dynamics of the disease and disability, will be considered. This and other topics with genuinely sociomedical perspectives will be developed during the SERCA period with the preceptors/advisor (rheumatology, geriatric medicine, epidemiology) and their colleagues.

关节炎遍及老年人健康的所有方面 - 这是他们的 最普遍和有症状的慢性病，​​第一个或 他们的社会局限性的第二等级原因，这是一个普遍的 门诊护理的原因。 进行性非致命状态 由于持续或爆发症状，关节炎伴随着许多 晚年的生活。 因此，它对于老年人的健康至关重要 生活质量。 该应用程序来自社会人口统计学家 掌握健康和社会差异方面的知识 死亡率和健康调查设计中的技术技能和 分析。 SERCA目标是：（1）获得学业和 生物医学，临床和流行病学的实践培训 关节炎疾病的方面，更广泛地 疾病和（2）设计和进行协作研究 社会和生物医学科学家对项目感兴趣的项目 关节炎对人们的身体和社会功能的影响 在缓解不适的医疗和个人护理策略中 并提高功能。 培训组件将重点关注： 骨关节炎和其他关节炎的病理；慢性的 背部疾病，结缔组织疾病和痛风；微分 诊断风湿病；诊断的临床程序 和功能评估；医疗团队如何决定 患者护理和监测结果的策略；流行病学 和肌肉骨骼疾病的细胞学；并选择 流行病学研究方法。 P.I.的个人研究 目的是将社会和医学视角汇总在一起 关节炎以全新的方式进行基于人群的调查。 一个 新生计划是对中间的州或区域调查 老年人和年长的非机构人士，专注于关节炎和 一两个非致命慢性病。 关节炎方案 将包括有关症状，残疾和例程的问题 护理，面试者进行的功能评估和健康 日记一个月或更长时间。 调查将揭示（i）身体 社会残疾基础（尤其是日常生活活动）和（ii） 关节炎症状和护理的短期动态针对 他们。 设计扩展以包括医疗诊断 关节炎，并在1 - 2年后重新研究受访者 捕获疾病和残疾的较长动态，将是 经过考虑的。 这个和其他具有真正社会主义的主题 观点将在Serca期间与 主持人/顾问（风湿病学，老年医学， 流行病学）及其同事。