ELDER ABUSE, ETHNICITY, AND HEALTHCARE SETTINGS

虐待老人、种族和医疗保健环境

• 批准号: 6783317
• 负责人: Michael A. Rodriguez
• 金额: $ 15.44万
• 依托单位: UNIVERSITY OF CALIFORNIA LOS ANGELES
• 依托单位国家: 美国
• 财政年份: 2001
• 资助国家: 美国
• 起止时间: 2001-08-15 至 2006-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6783317
• 关键词: behavioral /social science research tag; caregivers; clinical research; diagnosis design /evaluation; disease /disorder proneness /risk; elder abuse; geriatrics; health care personnel; human middle age (35-64); human old age (65+); human subject; mental disorder diagnosis; mental health epidemiology; psychological aspect of aging; psychosocial service; racial /ethnic difference

DESCRIPTION (applicant s abstract): Dr. Michael Rodriguez, MD, MPH, has developed expertise in the area of intimate partner abuse among ethnically diverse populations. Through mentoring relationships, structured integrated activities, and development of a research program, Dr. Rodriguez will advance his independence in conducting patient-oriented clinical research. Elder mistreatment is a significant health and social problem affecting all racial, ethnic, and socioeconomic groups. Although cultural values influence attitudes about mistreatment, little research has focused on understanding mistreated elders' perspectives on mistreatment. Furthermore, identification and management of elder mistreatment in health care settings are impeded by the lack of effective, culturally appropriate screening tools. In focus groups with mistreated Latino, African-American, and non-Latino Caucasian elders, Dr. Rodriguez will examine perceptions of mistreatment and identify factors that facilitate or hinder patient-provider communication about mistreatment. Similarly, focus groups with cognitively impaired elders, care givers, health care providers, and adult protective services workers will examine their perspectives on the definition of elder mistreatment and factors facilitating its identification in health care settings. A survey instrument will be developed using results from focus groups, current literature, and expert advice, and will include screening questions, established measures of abuse and neglect, patient preferences for health care interventions, demographic, and descriptive data. The survey will be administered to an ethnically diverse, clinic-based sample of elderly patients, and resulting data will provide information on risk factors for eider mistreatment and the utility of the screening questions. The goals of this study are to: (1) examine mistreated elders' perceptions of mistreatment and the role of health care providers in addressing elder mistreatment; (2) examine care givers, health care providers, and adult protective service workers perspectives on mistreatment and how health care providers can help victims; (3) identify risk factors for elder mistreatment; and (4) begin development of a screening tool for use in health care settings.

描述（申请人摘要）：Michael Rodriguez博士，医学博士，MPH， 在种族上在亲密伴侣虐待领域发展了专业知识 多样化的人群。通过指导关系，结构化整合 活动和研究计划的开发，罗德里格斯博士将进步 他独立于进行以患者为导向的临床研究。 老年虐待是影响所有人的重大健康和社会问题 种族，种族和社会经济群体。尽管文化价值影响 关于虐待的态度，很少的研究重点是理解 虐待长者对虐待的看法。此外，识别 在医疗保健环境中的老年虐待管理受到阻碍 缺乏有效的，文化上适当的筛查工具。 在虐待拉丁裔，非裔美国人和非拉丁裔的焦点小组中 高加索长老罗德里格斯（Rodriguez）将研究对虐待和 确定促进或阻碍患者沟通的因素 关于虐待。同样，具有认知障碍长老的焦点小组， 护理人员，医疗保健提供者和成人保护服务工人将 研究他们对老年虐待和因素的定义的观点 促进其在卫生保健环境中的身份。调查工具 将使用焦点小组，当前文献和 专家建议，并将包括筛选问题，已建立的措施 虐待和忽视，患者对医疗干预措施的偏好， 人口统计学和描述性数据。该调查将进行 种族多样化的老年患者样本，由此产生 数据将提供有关虐待的风险因素的信息， 筛选问题的实用程序。 这项研究的目标是：（1）检查虐待长老对 虐待和医疗保健提供者在向老人讲话中的作用 虐待; （2）检查护理人员，医疗保健提供者和成人 保护服务工作者对虐待以及医疗保健的观点 提供者可以帮助受害者； （3）确定虐待老年人的危险因素； （4）开始开发用于医疗保健环境的筛查工具。