Culture and Mobility Device Use in Older Adults

老年人的文化和移动设备使用

• 批准号: 6849072
• 负责人: LINDA J. RESNIK
• 金额: $ 7.75万
• 依托单位: BROWN UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-03-01 至 2007-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6849072
• 关键词: African American; Hispanic Americans; aging; assistive device /technology; attitude; behavioral /social science research tag; caucasian American; clinical research; culture; focus groups; functional ability; health behavior; health care service utilization; health disparity; health services research tag; human old age (65+); human subject; interview; motivation; person with disability; racial /ethnic difference; rehabilitation; social perception

DESCRIPTION (provided by applicant): Use of assistive devices for mobility such as canes, crutches and walkers, can reduce the risk of falling, promote activity, prevent disability and increase autonomy. Yet, despite these benefits, many older adults do not use mobility devices. Effective interventions that promote appropriate use of mobility devices are needed however at this time we are lacking research to guide the design of culturally appropriate interventions that would meet the needs of an ethnically diverse older population. The purpose of this study is to explore the influence of culture on attitudes and social norms regarding aging, mobility impairments and use of assistive devices for mobility. This qualitative study will use grounded theory techniques and employ a multiple case study design to study elders from the three population groups: Caucasian, non-Hispanic blacks, and Hispanics. Data will be collected by formal in-depth individual interviews with key informants and focus groups of older adults recruited from among the Ocean State Senior Dining centers, and elderly housing facilities in Rhode Island. Focus groups will be stratified on the basis of participants' self-identified race/ethnicity and 3-4 mini focus groups of each racial/ethnic group will be conducted. Focus groups of Spanish speaking elders will be led by a Spanish speaking moderator. Coding and analyzing the data will begin with open coding, the identification of broad, descriptive themes, and continue with the development of more theoretical or analytical themes. Constant comparison techniques will be used to continually refine the analysis based upon incoming data. Sampling of comparative informants and focus group members will contribute to explicating the phenomenon under study. Data analysis will continue until no new information is obtained and no new categories re formed. The results of this pilot study are intended to inform a subsequent, larger, intervention study aimed at improving adoption of assistive devices for mobility. Findings from this pilot study will help us understand similarities and differences in minority and Caucasian populations' view of functional decline and assistive device use, and to identify culturally sensitive ways to make interventions more appropriate for diverse populations.

描述（由申请人提供）：使用辅助设备用于拐杖，拐杖和步行者等机动性，可以降低跌倒，促进活动，防止残疾和增加自主权的风险。然而，尽管有这些好处，但许多老年人不使用移动设备。有效的干预措施需要促进适当使用移动设备的干预措施，但是目前我们缺乏研究来指导在文化上适当的干预措施的设计，这些干预措施将满足种族多样化的老年人的需求。这项研究的目的是探索文化对衰老，流动性障碍和使用辅助设备进行流动性的态度和社会规范的影响。这项定性研究将使用扎根的理论技术，并采用多个案例研究设计来研究三个人群群体的长者：高加索人，非西班牙裔黑人和西班牙裔。数据将通过对来自海洋州高级餐饮中心和罗德岛州老年住房设施中招募的主要线人和焦点小组的正式深入个人访谈来收集数据。焦点小组将根据参与者的自我认同种族/种族和每个种族/种族群体的3-4个迷你焦点小组进行分层。讲西班牙语长老的焦点小组将由西班牙语的主持人领导。编码和分析数据将始于开放编码，识别广泛的描述性主题，并继续开发更多的理论或分析主题。恒定的比较技术将用于根据传入数据不断完善分析。比较线人和焦点小组成员的抽样将有助于阐明正在研究的现象。数据分析将继续进行，直到没有获得新的信息并且没有新的类别形成。这项试点研究的结果旨在为随后的更大的干预研究提供旨在改善辅助设备进行流动性的研究。这项试点研究的发现将有助于我们了解少数群体和高加索人群对功能下降和辅助设备使用的看法的相似性和差异，并确定对文化敏感的方式，使干预措施更适合多样化。