Old Homebound Women's Intention of Reaching Help Quickly

居家老妇快速求助意愿

• 批准号: 6795331
• 负责人: EILEEN J PORTER
• 金额: $ 21.42万
• 依托单位: UNIVERSITY OF MISSOURI-COLUMBIA
• 依托单位国家: 美国
• 财政年份: 2003
• 资助国家: 美国
• 起止时间: 2003-09-01 至 2007-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6795331
• 关键词: accidental falls; behavioral /social science research tag; clinical research; data collection methodology /evaluation; emergency health services; experience; female; functional ability; health behavior; health care service planning; health services research tag; household; human subject; human very old age (85+); interview; longitudinal human study; perception; self help; social perception; social support network; women' s health

DESCRIPTION (provided by applicant): The purpose of this in-depth, extended phenomenological study is to describe the experience of reaching help quickly (RHQ) for old homebound women who live alone. Annually in the U.S., about 300,000 persons over age 65 who live alone are unable to contact help after a fall or an incapacitating illness. For the many women aged 85 and older who live alone, the public health impact is critical. They perceive a risk of falling and not being found, so they intend to get helpers to the home quickly, but very few subscribe to the personal emergency response system (PERS) that is designed to help them do so. Variations in the experience of RHQ have not been described. The aims are: (1) To detail the intentions that describe the personal experience of each woman in relation to RHQ and to describe any changes in her intentions that occur over 18 months; (2) To describe the personal, environmental, and socio-cultural context of each woman's experience of RHQ and to consider any changes in context over 18 months in relation to any changes in her intentions; and (3) To discern the phenomena of the experience of RHQ for the sample and to compare the component phenomena of the experience for PERS subscribers and non-subscribers. The Pl's descriptive phenomenological method will be used to guide data gathering and data analysis. The sample of 40 homebound women over the age of 85 will be stratified into Group #1 (n = 24, non-PERS subscribers) and Group #2 (n = 16, PERS subscribers). Over 18 months, five tape-recorded interviews will be done with each woman in her home; the women's SAFETY AND use of space in the home and their perceptions of their support networks relative to RHQ will be ASSESSED. Descriptive taxonomies of the structure of RHQ and its context will be produced. In line with the Pl's research program, the long-term aims of the project are to disseminate new perspectives on old homebound women's health-related experiences, to generate further research topics, and to offer practical ideas to enable these vulnerable women to live at home more safely.

描述（由申请人提供）：这项深入、扩展的现象学研究的目的是描述独居在家的老年妇女快速获得帮助 (RHQ) 的经历。在美国，每年约有 300,000 名 65 岁以上独居人士在跌倒或患上失能疾病后无法寻求帮助。对于许多 85 岁及以上的独居女性来说，公共卫生影响至关重要。他们意识到有跌倒且不被发现的风险，因此打算尽快让帮助者到家，但很少有人订阅旨在帮助他们这样做的个人紧急响应系统 (PERS)。尚未描述 RHQ 体验的变化。目的是： (1) 详细描述每位女性与 RHQ 相关的个人经历的意图，并描述 18 个月内其意图发生的任何变化； (2) 描述每位女性经历的个人、环境和社会文化背景 RHQ 并考虑 18 个月内与其意图的任何变化相关的任何背景变化； (3) 辨别样本的 RHQ 体验现象，并比较 PERS 订户和非订户体验的组成现象。 PL的描述性现象学方法将用于指导数据收集和数据分析。 40 名 85 岁以上居家女性样本将被分为第 1 组（n = 24，非 PERS 订阅者）和第 2 组（n = 16，PERS 订阅者）。在 18 个月的时间里，每位妇女将在其家中进行五次录音采访；将评估妇女的安全和对家庭空间的使用，以及她们对相对于总部总部的支持网络的看法。将生成地区总部结构及其背景的描述性分类法。根据PL的研究计划，该项目的长期目标是传播有关老年居家妇女健康相关经历的新观点，产生进一步的研究课题，并提供实用的想法，使这些弱势妇女能够在家生活更安全。