FORMAL SERVICES USED IN DEMENTIA CARE-- PROCESSES AND DETERMINANTS

痴呆症护理中使用的正式服务——流程和决定因素

• 批准号: 6295458
• 负责人: Kathleen Anne Smyth
• 金额: $ 10.24万
• 依托单位: CASE WESTERN RESERVE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 1999
• 资助国家: 美国
• 起止时间: 1999-06-01 至 2000-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6295458
• 关键词: Alzheimer's disease; behavioral /social science research tag; caregivers; dementia; family; health behavior; health care service utilization; human subject; longitudinal human study; patient care personnel relations

The purpose of this longitudinal panel study is to describe and explain the use of dementia-oriented services by persons with AD and their families. The descriptive emphasis is on patterns of use over time, and the explanatory emphasis is on identifying both direct and indirect effects of caregiver and care recipient characteristics on service contacts as well as volume and duration of use. Andersen's model of the effects of individual predisposing, enabling, and need characteristics will provide the overall framework for the study. However, substantial reoperationalization of model variables is proposed, focusing on identifying the role of normative health beliefs and caregiver perception of need on service use in this population. It is hypothesized that families will exhibit distinct patterns of service use which will be maintained over time; that certain aspects of perceived need will be strongly related to service use, and that normative health beliefs will exert a strong influence on service use through their effects on perceived need. In combination, these variables are hypothesized to improve the relative contribution of predisposing and enabling characteristics to variation in service use over previously published findings. The sample will consist of over 300 primary caregivers of persons with AD. Information on caregiver and care recipient characteristics will be obtained in cooperation with the ADRC's Clinical Core and Caregiver Core at baseline and at two additional yearly intervals. Information on service use will be collected by project staff using telephone interviews guided by a protocol designed and tested by the PI. Each subject will remain in the study for a 2-year period and subjects will be enrolled over a 2-year period. Preliminary analyses will begin early in year 3, and hypotheses will be tested in analyses performed beginning in year 4. The proposed research addresses a well-documented need for more specific longitudinal data on dementia-oriented service use. Results will contribute to the development of models appropriate for health and social service use beyond the scope of those currently available. Findings will be directly applicable to the development of appropriately targeted programs of service.

这项纵向小组研究的目的是描述和解释 AD及其其以痴呆为导向的服务的使用及 家庭。 描述性的重点是随着时间的推移使用模式， 解释性的重点是识别直接和间接 护理人员和护理接收者特征对服务的影响 触点以及数量和使用时间。 安徒生的模型 个人易感性，启用和需要特征的影响 将为研究提供总体框架。 但是，很大 提出了模型变量的重新投入化，重点是 确定规范性健康信念和照料者看法的作用 在这个人群中使用服务的需求。 假设 家庭将表现出不同的服务使用方式 随着时间的流逝；感知需求的某些方面将是 与服务使用密切相关，规范性健康信念将会 通过对服务的影响产生强大的影响 感知的需求。 结合使用，这些变量被认为 改善诱人和启用的相对贡献 先前发布的服务使用变化的特征 发现。 该样本将包括300多名主要护理人员 广告。 有关护理人员和护理接收者特征的信息将是 与ADRC的临床核心和护理人员核心合作获得 在基线，每年两个间隔。 信息 项目人员将使用电话采访收集服务使用 以PI设计和测试的协议为指导。 每个主题都会 在研究中保留2年，并将招募受试者 在2年的时间内。 初步分析将在第3年初开始 假设将在从第4年开始进行的分析中进行检验。 拟议的研究涉及对更具体的文献记录的需求 有关面向痴呆的服务使用的纵向数据。 结果将 有助于开发适合健康和社会的模型 服务的使用超出了当前可用的服务范围。 调查结果会 直接适用于适当目标的开发 服务计划。