Stroke Recovery in Underserved Populations

服务不足人群的中风康复

• 批准号: 6838300
• 负责人: GLENN V OSTIR
• 金额: $ 21.67万
• 依托单位: UNIVERSITY OF TEXAS MED BR GALVESTON
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-09-30 至 2009-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6838300
• 关键词: African American; Hispanic Americans; attention; attitude; behavioral /social science research tag; caucasian American; clinical research; data collection methodology /evaluation; emotions; family structure /dynamics; friendships; functional ability; human subject; human therapy evaluation; interview; longitudinal human study; medical rehabilitation related tag; medically underserved population; motivation; outcomes research; racial /ethnic difference; rehabilitation; social support network; socioenvironment; statistics /biometry; stroke; stroke therapy

DESCRIPTION (provided by applicant): Our proposed study addresses the RFA entitled "Research on Mind-Body Interactions and Health" (RFA #OD-03-008). Specifically, we address the National Institute on Aging interests in the study of "the impact of optimism, happiness, or a positive attitude on well being and health; and social functioning and health." We will do this by initiating a longitudinal study to examine how positive emotion (e.g., joy, gratitude, love, contentment) and social networks independently and interactively contribute to recovery of functional status after stroke within two underserved groups--African Americans and Hispanics. Findings will be compared with a sample of whites with stroke. Specific Aims of the proposed research are to: 1. Examine recovery of functional status (motor and cognitive function), for white, African American and Hispanic persons with stroke discharged from rehabilitation facilities; 2. Examine the contributions of positive emotion and social networks on recovery of functional status (motor and cognitive function), for white, African American, and Hispanic persons with stroke discharged from rehabilitation facilities; and 3. Examine the interaction between positive emotion and social networks on recovery of functional status (motor and cognitive function) for white, African American, and Hispanic persons with stroke discharged from rehabilitation facilities. Persons with stroke will be recruited from 20 rehabilitation facilities across the U.S. Specific rehabilitation facilities will be targeted to assure a sample of 400 whites, 400 African Americans, and 400 Hispanics. Data will be collected by the IT Health Track at four time points: at admission and discharge from rehabilitation facility, and 80-180 days and 365-425 days after discharge. This work is important as it begins to identify and examine factors that may contribute to a narrowing of the health disparities that currently exist between underserved minority groups (i.e., African Americans and Hispanics) and whites. This is consistent with NIH/NIA's strategic plan to "advance aging research closer to the ultimate objectives of reducing and eliminating health disparities among older racial and ethnic minorities." The work is also important as it has the potential to "contribute important insights into why some do well and others do poorly in the face of persistent challenges."

描述（由申请人提供）：我们提出的研究介绍了标题为“心身互动与健康研究”的RFA（RFA＃od-03-008）。具体而言，我们在研究“乐观，幸福或积极态度对良好和健康的影响以及社会功能和健康的影响的研究中，我们对国家衰老兴趣研究所进行了介绍。我们将通过启动一项纵向研究来研究这一点，以研究积极情绪（例如，欢乐，感激，爱，满足感）和社交网络如何独立和互动地促进了两个服务不足的群体中中风后的功能状况的恢复 - 非洲美国人和西班牙裔。结果将与中风的白人样本进行比较。拟议研究的具体目的是： 1。检查功能状况的恢复（运动和认知功能），对白人，非裔美国人和西班牙裔人的中风从康复设施中排出； 2。检查积极情绪和社交网络对白人，非裔美国人和西班牙裔人的恢复功能状况（运动和认知功能）的贡献；和 3。研究白人，非裔美国人和西班牙裔人的积极情绪与社交网络之间的恢复功能状况（运动和认知功能）之间的相互作用，并从康复设施中释放出中风。 将从美国各地的20个康复设施中招募中风的人，以确保将400名白人，400名非洲裔美国人和400名西班牙裔康复。 IT健康轨道将在四个时间点收集数据：入院和康复设施的出院，以及80-180天和出院后的365-425天。 这项工作很重要，因为它开始识别和研究可能导致狭窄的因素，从而缩小了当前服务不足的少数群体（即非裔美国人和西班牙裔）和白人之间存在的健康差异。这与NIH/NIA的战略计划是一致的，即“更接近减少和消除老年种族和族裔少数民族健康差异的最终目标的衰老研究”。这项工作也很重要，因为它有潜力“对为什么有些人做得很好，而另一些人在面对持续的挑战时表现不佳”。