Resilience in Native American Older Adults

美国原住民老年人的复原力

• 批准号: 6805190
• 负责人: KIMBERLY A WALLACE
• 金额: $ 7万
• 依托单位: UNIVERSITY OF MONTANA
• 依托单位国家: 美国
• 财政年份: 2003
• 资助国家: 美国
• 起止时间: 2003-09-30 至 2006-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6805190
• 关键词: Native Americans; aging; behavioral /social science research tag; belief; clinical research; community health services; data collection methodology /evaluation; family structure /dynamics; functional ability; gender difference; health; health surveys; human middle age (35-64); human subject; identity; interview; mental health; outcomes research; psychological adaptation; questionnaires; religion; self concept; social adjustment; social support network; statistics /biometry; stressor

DESCRIPTION (provided by applicant): The aims of the proposed study are to: (1) advance understanding of resilience in later adulthood in a sample of Native Americans, and (2) identify and examine personal and support factors that contribute to positive health outcomes in this sample. In addition, an important aim of this research is to: (3) examine resilience profiles as they relate to health outcomes among Native American older adults. Resilience refers to one's ability to bounce back after adversity and is thought to be a function of one's available protective factors. Although a substantial literature on resilience has emerged with children and adolescence, this process is not well understood in later life. Because of the multitude of challenges that often accompany aging, older adulthood is a particularly important age-span in which to examine resilience. At the same time, although minority research in the field of aging is increasing, there is still a dearth of information in this area as well. Designed to begin to address these gaps in the literature, the proposed study combines qualitative and quantitative methodologies to examine stress, personal (spirituality; sense of self) and support (family and community support) resources, and health outcomes (mental and physical) in a sample of Native Americans over the age of 50 living on a reservation. Specifically, Study 1 is an examination of the factors that contribute to positive adaptation in a sample of Native American older adults. Data will be collected using semi-structured interviews and analyzed using a process of thematic categorization. Study 2 is an investigation of the factors identified in Study 1 as they relate to positive health outcomes. Study 2 will be conducted using in-person surveys; cluster analysis will be used to classify groups of individuals according to similarities on levels of stress and the protective factors, and ANOVA will be used to validate the cluster solution and investigate any differences in health outcomes by cluster membership. Findings from this research will help further theoretical understanding of resilience in later life by elucidating the complexities of resilience not normally observed in the general population. This research will also serve as a foundation for future inquiries in this area, particularly with regards to the complex, multidimensional nature of resilience, its psychological, social, and physical components, and trajectories of change in resilience mechanisms over time.

描述（由申请人提供）：拟议研究的目的是：（1）增进对美洲原住民样本成年后期复原力的了解，以及（2）识别和检查有助于积极健康结果的个人和支持因素在这个样本中。此外，这项研究的一个重要目的是：（3）检查与美国原住民老年人健康结果相关的复原力概况。复原力是指一个人在逆境后恢复的能力，被认为是一个人可用的保护因素的函数。尽管关于儿童和青少年时期的复原力的大量文献已经出现，但这一过程在以后的生活中并没有得到很好的理解。由于衰老往往会带来诸多挑战，因此老年期是检验复原力的一个特别重要的年龄跨度。与此同时，尽管少数群体在老龄化领域的研究不断增加，但该领域的信息仍然匮乏。旨在解决文献中的这些空白，拟议的研究结合了定性和定量方法来检查压力、个人（精神；自我意识）和支持（家庭和社区支持）资源以及健康结果（精神和身体）。居住在保留地的 50 岁以上美洲原住民样本。具体来说，研究 1 是对美国原住民老年人样本中有助于积极适应的因素进行的检查。将通过半结构化访谈收集数据，并使用主题分类过程进行分析。研究 2 是对研究 1 中确定的与积极健康结果相关的因素的调查。研究 2 将通过现场调查进行；聚类分析将用于根据压力水平和保护因素的相似性对个体群体进行分类，方差分析将用于验证聚类解决方案并调查聚类成员在健康结果方面的差异。这项研究的结果将有助于进一步从理论上理解晚年生活中的复原力，阐明一般人群中通常观察不到的复原力的复杂性。这项研究也将作为该领域未来研究的基础，特别是关于复原力的复杂性、多维性质、其心理、社会和身体组成部分，以及复原力机制随时间变化的轨迹。