Caregiving burden and heart rate variability: Differences by race/ethnicity and gender

护理负担和心率变异性：种族/民族和性别的差异

基本信息

批准号：
9755677
负责人：
JACLENE A ZAUSZNIEWSKI
金额：
$ 4.21万
依托单位：
CASE WESTERN RESERVE UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2016
资助国家：
美国
起止时间：
2016-09-27 至 2020-06-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9755677
关键词：
Address Adult Adverse effects Affect Affective American Area Bipolar Disorder Caregiver Burden Caregivers Caring Characteristics Chronic Chronic stress Clinical Trials Correlation Studies Data Data Analyses Diagnosis Distress Ethnic Origin Family Caregiver Family member Female Financial Support Frequencies Funding Future Gender Generations Goals Health Healthcare International Intervention Investigation Knowledge Lead Literature Longevity Malignant Neoplasms Manic Measures Mental Depression Mental Health Mentors Mentorship Minority Moods Neurologic Nurses Parents Participant Patient Self-Report Persons Physiological Psychological Stress Questionnaires Race Reporting Research Research Activity Research Personnel Research Priority Research Training Risk Science Scientist Self Care Self Management Severities Stress Symptoms Time Training Training Support Woman behavioral health biological adaptation to stress care burden care giving burden career development caregiving cost disability-adjusted life years early onset experience health disparity heart rate variability hospital readmission interest male member parent grant peer physical conditioning pre-doctoral primary care services psychologic racial difference sociodemographics

项目摘要

Project Summary/Abstract This application is a Diversity Supplement to parent grant R01 NR016817-01 (2016-2020), “Tailored health self-management interventions for highly distressed family caregivers” (J.A. Zauszniewski, PI). Two years of predoctoral research training and support is requested for an outstanding minority candidate, Ms. Elizabeth Williams, BSN, RN. Ms. Williams plans to study the relationships among caregiver characteristics (i.e. race/ethnicity and gender) and stress responses (psychological and physiological) in family caregivers of adults with bipolar disorder. The specific aims for the supplement project are to: 1) determine whether there are differences by caregiver characteristics (race/ethnicity and gender) on measures of psychological stress responses (self-reported involvement in care and caregiving burden); 2) determine whether there are differences by caregiver characteristics (race/ethnicity and gender) on measures of physiological stress responses (heart rate variability: time and frequency domains – eight indicators); 3) examine associations among all of the indicators of psychological and physiological stress responses; and 4) explore relationships among available indicators of the time and frequency domains of heart rate variability. Under the mentorship of Dr. Jaclene A. Zauszniewski and the other co-investigators of the parent grant, Ms. Williams will engage in a set of formal and informal research activities related to the understanding of health disparities and caregiver stress, with a specific interest in disentangling differences on psychological and physiological measures of stress responses, and particularly, the time and frequency domains of heart rate variability. Her study will concentrate on measures obtained at baseline on demographic characteristics, and psychological and physiological stress on all study participants (N=300), who are family caregivers of persons with bipolar disorder. This Diversity Supplement addresses research priorities of the NINR to develop a diverse cadre of nurse scientists to advance the science of caregiving and health disparities. Ms. Williams' involvement in the parent clinical trial will provide invaluable experiences for her as she progresses towards her goal of acquiring the necessary mentoring, substantive knowledge, and scientific training that will set her apart among her peers with unique knowledge and expertise in the areas of health disparities, caregiver stress, and heart rate variability.

项目概要/摘要本申请是家长补助金 R01 NR016817-01 (2016-2020)“量身定制的健康”的多样性补充对高度痛苦的家庭照顾者进行自我管理干预”（J.A. Zauszniewski，PI）两年。为杰出的少数族裔候选人伊丽莎白女士请求博士前研究培训和支持 Williams，BSN，RN Williams 女士计划研究护理人员特征之间的关系（即种族/民族和性别）以及家庭照顾者的压力反应（心理和生理）补充项目的具体目标是： 1) 确定是否患有双相情感障碍。照顾者特征（种族/民族和性别）对心理压力测量的差异回应（自我报告的护理参与情况和护理负担）；2) 确定是否存在照顾者特征（种族/民族和性别）对生理压力测量的差异反应（心率变异性：时域和频域 – 八个指标）；3) 检查关联性心理和生理应激反应的所有指标之间的关系；4) 探索关系在心率变异性的时间和频率域的可用指标中。 Jaclene A. Zauszniewski 博士和母基金的其他联合研究员、Williams 女士将参与一项一系列与了解健康差异和护理人员相关的正式和非正式研究活动压力，特别感兴趣的是消除心理和生理测量上的差异她的研究将关注压力反应，特别是心率变异性的时间和频率域。集中于基线时获得的关于人口特征、心理和心理特征的测量所有研究参与者（N = 300）的生理压力，他们是双相情感障碍患者的家庭照顾者该多样性补充材料解决了 NINR 的研究重点，以培养多元化的骨干队伍。护士科学家推动护理和健康差异的科学发展。威廉姆斯女士参与其中。家长临床试验将为她提供宝贵的经验，帮助她实现获得成功的目标必要的指导、实质性知识和科学培训将使她在同龄人中脱颖而出在健康差异、护理人员压力和心率领域拥有独特的知识和专业知识可变性。