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: 6218689
• 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: 1999-08-15 至 2000-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6218689
• 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.

这项纵向面板研究的目的是描述和解释 AD 患者及其患者使用面向痴呆症的服务 家庭。 描述性重点是随着时间的推移使用模式，并且 解释的重点是确定直接和间接 照顾者和照顾者特征对服务的影响 接触次数以及使用量和持续时间。 安徒生的模型 个人倾向、促成和需求特征的影响 将提供研究的总体框架。 然而，实质性的 提出了模型变量的重新操作化，重点是 确定规范健康信念和护理人员认知的作用 该人群对服务使用的需求。 假设 家庭将表现出不同的服务使用模式 随着时间的推移保持；感知需求的某些方面将 与服务使用密切相关，并且规范的健康信念将 通过对服务的使用产生强烈影响 感知到的需要。 结合起来，这些变量被假设为 提高诱发和促成的相对贡献 与之前发布的服务使用变化的特征 发现。 样本将包括 300 多名患有此病的人的主要照顾者 广告。 有关护理人员和护理接受者特征的信息将 与 ADRC 的临床核心和护理人员核心合作获得 在基线和另外两个每年间隔。 有关信息 项目工作人员将通过电话访谈收集服务使用情况 由 PI 设计和测试的协议指导。 每个科目都会 继续研究两年，受试者将被纳入 超过2年的时间。 初步分析将于第三年年初开始， 假设将在第四年开始进行的分析中得到检验。 拟议的研究解决了有据可查的更具体的需求 面向痴呆症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 服务使用超出了当前可用的范围。 调查结果将 直接适用于适当目标的开发 服务计划。