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

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）：该导师研究科学家发展奖（K01）的最终目标是为申请人提供建立健康和老龄化社会学独立研究项目的技能，以满足以下群体的需求和关注：少数民族人口。近期目标是首次使用客观工具来研究美国印第安老年患者与其医疗保健提供者之间互动的沟通模式。与最新的医疗沟通模型一致，该项目将调查提供者是否通过根据美洲印第安人患者的文化特征改变其沟通行为而表现出偏见，以及美洲印第安人患者（或患者亚群）是否使用独特的沟通规范。然后，该项目将寻求将观察到的患者和提供者沟通模式与患者满意度和提供者​​的“临床不确定性”联系起来。最后，该项目将利用所得信息来设计和瞄准健康干预措施，旨在改善与美洲印第安老年患者的医疗沟通，特别关注可能有特殊需要的患者亚群。 申请人是一名美洲印第安人，接受过社会学研究生培训，具有与传播和美洲原住民问题研究相关的研究和出版背景，目前隶属于一家致力于研究美洲印第安人健康的全国知名研究中心。她的项目将得到一组在老龄化、种族和健康研究方面拥有专业知识的研究人员的深入指导和咨询；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。 该奖项的研究计划包括扩展一项试点研究，该研究于 2001 年夏天从切罗基族部落卫生诊所的医疗保健提供者和患者那里收集数据。拟议的数据收集将在另外两个部落诊所进行。新数据将与试点数据相结合，从而产生更大、更多样化的老年人样本（n = 300），并解决有关美洲印第安人之间医患沟通的新问题。此外，该研究计划将使研究人员能够实现以下具体目标：（1）接受健康和老龄化社会科学研究的指导，（2）发展少数族裔健康和老龄化领域的特殊专业知识，（3） ）接受定量方法方面的培训，（4）发展医学交流的理论、实践和评估知识，以及将研究结果转化为有效干预措施的能力，以及（5）更好地了解影响印第安人的联邦和部落政策医疗保健和个人临床进行健康沟通的环境。