Identifying Distinctions and Commonalities between Elder Mistreatment and Late-life IPV: A Study of ADRD Caregiving Dyads

识别虐待老年人和晚年 IPV 之间的区别和共同点：ADRD 护理二元组的研究

• 批准号: 10427002
• 负责人: Zachary D Gassoumis
• 金额: $ 3.59万
• 依托单位: UNIVERSITY OF SOUTHERN CALIFORNIA
• 依托单位国家: 美国
• 财政年份: 2018
• 资助国家: 美国
• 起止时间: 2018-08-15 至 2023-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10427002
• 关键词: Address; Aging; Alzheimer' s disease related dementia; Award; California; Caregivers; Characteristics; Data; Development; Elder Abuse; Elderly; Electronic Health Record; Exposure to; Funding; Gerontology; Health; Intervention; Interview; Knowledge; Life Cycle Stages; Longevity; Longitudinal cohort; Mentorship; Methods; National Institute on Aging; Parents; Pathway interactions; Patients; Pattern; Personal Satisfaction; Population; Prevention; Recording of previous events; Reporting; Research; Research Activity; Research Methodology; Research Personnel; Risk Factors; Scientist; Spouses; Technology; Training; Universities; Work; abuse victim; caregiving; dementia caregiving; design; doctoral student; experience; follow-up; high risk; improved; intimate partner violence; life history; maltreatment; meetings; novel; programs; protective factors; public health research; recruit; research study; social; support network; training opportunity

Abstract This application seeks funding through the Research Supplements to Promote Diversity in Health-Related Research mechanism (PA-21-071) and is associated with parent award R01 AG060096. This supplement will provide Elizabeth Avent, a PhD student in the University of Southern California's Gerontology program, with the systematic training, professional development, and mentorship needed to establish a pathway to independence as a scientist in the field of aging. Ms. Avent's proposed work will explore the patterns of abuse over the life course and build a data-driven conceptualization of late-life intimate partner violence. The parent study aims to identify risk and protective factors for elder mistreatment (EM) among older adults with Alzheimer's Disease and related dementias (ADRD) and their caregivers by: 1) tracking a longitudinal cohort of 200 over 18 months, to assess predictors of EM at baseline and over the follow-up period; 2) with 50 purposively selected caregivers, conduct qualitative interviews, assess the breadth of their social and instrumental support networks, and track for 1 month using health-tracking technology; and 3) compare electronic health records of ADRD patients with reported EM to ADRD patients who are not suspected of experiencing EM. The research under this proposed supplement will contribute to the parent study's Aim 1 by investigating the causes and consequences of EM that are unique to spousal and intimate partner dyads, and will also contribute to the parent study's Aim 2 by exploring the ways that the relationship history of spousal and intimate partner dyads is related to EM. Crucially, this supplement will endeavor to distinguish novel EM perpetrated by a spouse or intimate partner from late-life intimate partner violence (IPV) in ADRD caregiving dyads. Using a convergent mixed-methods design, this project will address three specific aims: Aim 1. Describe the population of intimate partner/spousal caregiving dyads, compared to other types of caregiving dyads. Research Question: To what degree do spousal and intimate partner dyads who experience EM differ from those who have experienced a pattern of IPV across the life course? Aim 2. Explore the relationship and life histories of intimate partner/spousal caregiving dyads in which abuse is present to discern patterns of abuse over the life course and determine whether there are distinct differences between EM and IPV in late life. Research Question: What distinctions emerge between spousal and intimate partner dyads who have experienced IPV across the lifespan versus those who are experiencing novel EM? Aim 3. Investigate how the onset and progression of ADRD may influence the direction of abuse or exacerbate abuse in intimate partner/spousal caregiving dyads. Research Question: Does the onset and progression of ADRD impact the dynamics and/or direction of abuse in spousal and intimate partner dyads with a history of IPV?

抽象的 该应用程序通过研究补充剂寻求资金，以促进与健康相关的多样性 研究机制（PA-21-071），与父母奖R01 AG060096有关。这种补充会 向南加州大学的老年学课程提供伊丽莎白·阿文特（Elizabeth Avent） 需要系统的培训，专业发展和指导才能建立独立途径 作为衰老领域的科学家。 Avent女士的拟议工作将探讨生活中虐待的模式 课程并建立对晚期亲密伴侣暴力的数据驱动概念化。 父母研究旨在确定老年人患有老年人虐待（EM）的风险和保护因素 阿尔茨海默氏病和相关痴呆症（ADRD）及其护理人员：1）跟踪纵向队列 在18个月内进行200个，以评估基线和随访期的EM的预测因子； 2）有目的地50 选定的护理人员，进行定性访谈，评估其社交和工具支持的广度 网络，并使用健康跟踪技术跟踪1个月； 3）比较电子健康记录 ADRD患者报告了不怀疑经历EM的ADRD患者。 根据该拟议的补充的研究将通过调查父母研究的目标1有助于 EM的原因和后果是配偶和亲密伴侣二元组，也会做出贡献 通过探索配偶和亲密伴侣的关系历史的方式来达到父母研究的目标2 二元组与em有关。至关重要的是，这种补充剂将努力区分由配偶进行的新颖EM 或来自Adrd Caregiving Dyads的晚期亲密伴侣暴力（IPV）的亲密伴侣。 使用收敛的混合方法设计，该项目将解决三个具体目标： AIM 1。与其他类型相比，描述亲密伴侣/配偶关怀二元组的人口 照料二元组。研究问题：配偶和亲密伴侣在什么程度 经验EM与在整个生活课程中经历过IPV模式的人不同吗？ 目标2。探索亲密伴侣/配偶照顾二元组的关系和生活历史 存在虐待以辨别生活过程中的虐待模式并确定是否存在 晚期EM和IPV之间的明显差异。研究问题：之间出现了什么区别 在整个生命周期中经历了IPV的配偶和亲密伴侣二元组与那些 体验小说EM？ 目标3。调查阿德德的发作和进展如何影响虐待方向或 亲密伴侣/配偶照顾二元组加剧滥用。研究问题：发作和 ADRD的进展影响配偶和亲密伴侣的虐待的动态和/或方向与 IPV的历史？