ARTHRITIS AND DAILY LIFE

关节炎与日常生活

• 批准号: 3068444
• 负责人: LOIS M VERBRUGGE
• 金额: $ 7.42万
• 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/3068444
• 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各个方面——这是他们的问题 最普遍和有症状的慢性病，​​第一个或 他们的社会限制的第二大原因，以及一个常见的 门诊护理的原因。 进行性非致命性疾病 关节炎伴随着许多持续或突发的症状 多年的晚年生活。 因此，它对于老年人的健康和 生活质量。 该应用程序来自社会人口统计学家 具有性别知识和健康方面的社会差异 死亡率以及健康调查设计和技术技能 分析。 SERCA 的目标是： (1) 获得学术和 生物医学、临床和流行病学方面的实践培训 关节炎疾病的各个方面，更广泛的是风湿病 疾病，以及（2）设计和进行合作研究 对以下问题感兴趣的社会和生物医学科学家的项目 关节炎对人们的身体和社会功能的影响 缓解不适的医疗和个人护理策略 并改善功能。 培训部分将重点关注： 骨关节炎和其他关节病的病理学；慢性的 背部疾病、结缔组织疾病和痛风；微分 风湿性疾病的诊断；诊断的临床程序 和功能评估；医疗团队如何确定 患者护理策略和监测结果；流行病学 和肌肉骨骼疾病的疾病学；并选择了 流行病学研究方法。 P.I. 的个人研究 目的是将社会和医学观点结合起来 以全新的方式将关节炎纳入基于人群的调查。 一个 新的计划是对中等收入国家或地区进行一项调查 老年人和非机构老年人，重点关注关节炎和 一种或两种非致命性慢性病。 关节炎方案 将包括有关症状、残疾和日常生活的问题 护理、访谈员进行的功能评估和健康状况 一个月或更长时间的日记。 该调查将揭示 (i) 身体状况 社会残疾基础（特别是日常生活活动）和（ii） 关节炎症状和护理的短期动态 他们。 设计扩展以包括医疗诊断 关节病，并在 1-2 年后重新调查受访者 捕捉疾病和残疾的长期动态，将 经过考虑的。 这个话题和其他话题具有真正的社会医学意义 观点将在 SERCA 期间得到发展 导师/顾问（风湿病学、老年医学、 流行病学）和他们的同事。