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）：拟议的研究的目的是：（1）在美洲原住民样本中对成年后期的复原力进行提高理解，（2）识别和检查该样本中有助于阳性健康结果的个人和支持因素。此外，这项研究的一个重要目的是：（3）检查弹性特征，因为它们与美国原住民老年人的健康结果有关。弹性是指在逆境后反弹的能力，被认为是一个可用的保护因素的函数。尽管关于儿童和青春期的弹性文献已经出现了大量的文献，但在以后的生活中，这一过程尚未得到很好的理解。由于经常伴随着衰老的挑战，成年是一个特别重要的年龄，可以在其中检查弹性。同时，尽管在衰老领域的少数群体研究正在增加，但在该领域仍然缺乏信息。旨在开始解决文献中的这些差距，该拟议的研究结合了定性和定量方法，以检查压力，个人（灵性；自我意识）和支持（家庭和社区支持）资源以及健康成果（精神和身体），以保留50岁以上的美洲原住民。具体而言，研究1是对在美国原住民老年人样本中有助于阳性适应性的因素的检查。数据将使用半结构化访谈收集，并使用主题分类过程进行分析。研究2是对研究1中确定的因素与正面健康结果相关的因素的研究。研究2将使用面对面的调查进行；聚类分析将根据压力水平和保护因素的相似性来对个体组进行分类，并且ANOVA将用于验证聚类解决方案，并通过群集成员资格研究健康结果的任何差异。这项研究的结果将通过阐明通常在一般人群中观察到的复杂性，有助于进一步理解以后生活的弹性。这项研究还将成为该领域未来查询的基础，尤其是关于弹性的复杂，多维性质，其心理，社会和身体成分以及随着时间的推移弹性机制变化的轨迹。