Health Communication with American Indian Elders

与美洲印第安人长者的健康沟通

• 批准号: 6986306
• 负责人: EVA Marie GARROUTTE
• 金额: $ 12.24万
• 依托单位: BOSTON COLLEGE
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-09-01 至 2009-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6986306
• 关键词: Native Americans; aging; behavioral /social science research tag; clinical research; geriatrics; human subject; interview; patient care personnel relations; Native Americans; aging; behavioral /social science research tag; clinical research; geriatrics; human subject; interview; patient care personnel relations

DESCRIPTION (provided by applicant): The ultimate goal of this Mentored Research Scientist Development Award (K01) is to provide the applicant with the skills to establish an independent program of research in the sociology of health and aging as applied to the needs and concerns of minority populations. The immediate goal is, for the first time, to use an objective instrument to investigate patterns of communication characterizing interactions between American Indian elder patients and their health care providers. Consistent with recent models for medical communication, the project will investigate whether providers display bias by varying their communicative behavior according to their American Indian patients' cultural characteristics, and if American Indian patients (or patient subgroups) use distinctive communication norms. The project will then seek to relate observed patterns in patient and provider communication to patients' satisfaction and providers' "clinical uncertainty." Finally, the project will use the resulting information to design and target a health intervention aimed at improving medical communication with American Indian elder patients, with special attention to patient subgroups who may have special needs. The applicant is an American Indian with graduate training in sociology, a background of research and publication related to the study of communication and Native American issues, and a current affiliation with a nationally known research center dedicated to the study of American Indian health. She will be assisted in her project by intensive mentoring and consultation from an established group of researchers with expertise in the study of aging, ethnicity, and health; medical communication and its assessment; intervention research, Indian health policy, and quantitative research methodologies. The research plan for this award involves extending a pilot study that collected data from both health care providers and patients at one Cherokee Nation tribal health clinic in the summer of 2001. Proposed data collection will occur at two additional tribal clinics. New data is to be combined with pilot data, thus yielding a larger and more diverse sample of elders (n = 300), and allowing new questions regarding doctor-patient communication among American Indians to be addressed. Additionally, the research plan will allow the researcher to pursue the following specific goals: (1) receive mentorship in the social scientific study of health and aging, (2) develop particular expertise in the area of health and aging in minority populations, (3) receive training in quantitative methodologies, (4) develop knowledge of the theory, practice, and assessment of medical communication, and the ability to translate findings into efficacious interventions, and (5) achieve greater understanding of the federal and tribal policies that affect Indian health care, and of the individual clinical settings in which health communication occurs.

描述（由申请人提供）：这一指导研究科学家发展奖（K01）的最终目标是为申请人提供技能，以建立针对少数群体的需求和关注的独立研究计划的独立研究计划。直接的目标是首次使用客观的工具来调查表征美洲印第安人老年患者与其医疗保健提供者之间相互作用的交流模式。与最近的医疗交流模型一致，该项目将调查提供者是否根据其美国印度患者的文化特征来改变其交流行为，以及是否使用独特的交流规范来改变其沟通行为。然后，该项目将寻求将患者和提供者沟通中观察到的模式与患者的满意度和提供者​​的“临床不确定性”联系起来。最后，该项目将使用结果信息来设计和针对旨在改善与美洲印第安人老年患者的医学交流的健康干预措施，并特别注意可能有特殊需要的患者亚组。 申请人是一名美洲印第安人，接受了社会学研究生培训，与美国原住民问题研究有关​​的研究和出版物的背景，以及与全国知名的研究中心的隶属关系，致力于对美洲印第安人健康的研究。她将通过在衰老，种族和健康研究方面具有专业知识的知识研究人员的大量指导和咨询来协助她的项目；医疗沟通及其评估；干预研究，印度卫生政策和定量研究方法。 该奖项的研究计划涉及扩展一项试点研究，该研究在2001年夏天从一家切诺基国家部落健康诊所收集了医疗保健提供者和患者的数据。拟议的数据收集将在另外两个部落诊所发生。新数据将与试点数据相结合，从而产生更大，更多样化的长者样本（n = 300），并允许解决有关美国印第安人之间医生与医生沟通的新问题。 Additionally, the research plan will allow the researcher to pursue the following specific goals: (1) receive mentorship in the social scientific study of health and aging, (2) develop particular expertise in the area of​​ health and aging in minority populations, (3) receive training in quantitative methodologies, (4) develop knowledge of the theory, practice, and assessment of medical communication, and the ability to translate findings into efficacious interventions, and (5) achieve greater understanding of the federal and影响印度卫生保健的部落政策，以及发生健康沟通的个人临床环境。