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）：使用手杖、拐杖和助行器等移动辅助装置可以降低跌倒风险、促进活动、预防残疾并增强自主能力。然而，尽管有这些好处，许多老年人并不使用移动设备。需要促进适当使用移动设备的有效干预措施，但目前我们缺乏研究来指导设计适合文化的干预措施，以满足不同种族老年人口的需求。本研究的目的是探讨文化对老龄化、行动障碍和行动辅助器具使用的态度和社会规范的影响。这项定性研究将使用扎根理论技术并采用多案例研究设计来研究来自三个人口群体的老年人：白人、非西班牙裔黑人和西班牙裔。数据将通过与从海洋州高级餐饮中心和罗德岛州老年人住房设施中招募的关键信息提供者和老年人焦点小组进行正式的深入个人访谈来收集。焦点小组将根据参与者自我认定的种族/民族进行分层，每个种族/民族将进行 3-4 个小型焦点小组。西班牙语长者焦点小组将由西班牙语主持人领导。数据的编码和分析将从开放编码、广泛的描述性主题的识别开始，并继续发展更多的理论或分析主题。将使用持续比较技术来根据传入数据不断完善分析。对比较知情者和焦点小组成员进行抽样将有助于解释所研究的现象。数据分析将持续进行，直到没有获得新的信息并且没有重新形成新的类别。这项试点研究的结果旨在为后续更大规模的干预研究提供信息，该研究旨在提高行动辅助设备的采用率。这项试点研究的结果将帮助我们了解少数族裔和白人群体对功能衰退和辅助器具使用的看法的异同，并确定文化敏感的方法，使干预措施更适合不同人群。