Ethnogeriatric Cultural Competence: Chronic Confusion

民族老年文化能力：慢性混乱

• 批准号: 6801447
• 负责人: LINDA A GERDNER
• 金额: $ 9.28万
• 依托单位: UNIVERSITY OF MINNESOTA
• 依托单位国家: 美国
• 财政年份: 2003
• 资助国家: 美国
• 起止时间: 2003-09-30 至 2006-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6801447
• 关键词: Alzheimer' s disease; Asian Americans; behavioral /social science research tag; belief; caregivers; clinical research; coping; culture; family structure /dynamics; focus groups; geriatric nursing; health behavior; health disparity; human subject; immigrant; interview; nursing intervention; nursing research; patient care management; racial /ethnic difference; southeast Asian; training

Chronic confusion associated with Alzheimer's disease and related disorders (ADRD) complicates aspects of caregiving. Of the four million Americans suffering from ADRD, 80% live at home and are cared for by family. The 2000 census reports that of the 274 million persons living in the United States, 62 million (22.6%) are of ethnic minority. Assumptions about the nature of family caregiving based on the experience of Euro American caregivers may not hold true for minority groups. Supporting the position of Healthy People 2000/2010, the issues of health care disparity and culturally anchored care have also been identified as a priority by several national organizations including the National Institute of Nursing Research, National Institute of Aging, American Geriatric Society, and the National Alzheimer's Association. During post-doctoral work Dr. Gerdner became painfully aware of health care disparity among ethnic elders. While it appeared that some, if not most, of this disparity may be related to their ethnic/minority status she lacked the necessary ethnogeriatric research skills to thoroughly investigate this problem. This KO1 would provide the research training necessary to extend her expertise in chronic confusion/ADRD to ethnic minority populations for the purpose of adapting/developing and testing interventions that are culturally congruent. The immediate career objectives are to: 1) increase knowledge regarding the interplay of culture/ethnicity and its impact on the health of immigrant elders and their families; 2) to acquire the skills to develop, implement and evaluate culturally anchored interventions for persons with ADRD and their families, 3) acquire knowledge and skills in advanced ethnographic and focus group methodology and 4) to develop and submit an RO1 in the area of ethnographic research. Dr. Gerdner's three year program of research training is composed of two phases of pilot work designed to study the Hmong community for the purpose of understanding their cultural practices, thus enabling evidence-based protocols to be culturally adapted. Dr. Gerdner's career plans includes transferring the research skills and knowledge regarding the development/adapation and evaluation of culturally congruent programs of care with Hmong immigrants to other ethnic/immigrant minority.

与阿尔茨海默氏病和相关疾病（ADRD）相关的慢性混乱使护理的各个方面变得复杂。在遭受ADRD的400万美国人中，有80％的人住在家里，并受到家庭的照顾。 2000年的人口普查报告说，在美国的2.74亿人中，有6200万人（22.6％）为少数民族。基于欧洲护理人员的经验，对家庭照顾性质的假设可能不适合少数群体。在支持健康人民2000/2010的位置的医疗保健差异和文化锚定护理问题也已被几个国家组织确定为优先事项，包括国家护理研究所，国家老化研究所，美国老年人学会和国家阿尔茨海默氏症协会。在博士后 Gerdner博士的工作变得很痛苦地意识到族裔长者之间的医疗保健差异。尽管这种差异中的某些（如果不是大多数）似乎与他们的族裔/少数群体地位有关，但她缺乏必要的民族脑膜研究技能来彻底调查这个问题。该KO1将提供必要的研究培训，以扩展她在慢性混乱/ADRD方面的专业知识到少数民族人口，以调整/发展和测试在文化上是一致的干预措施。直接的职业目标是：1）增加有关文化/种族相互作用及其对移民长老及其家庭健康的知识； 2）获取针对ADRD及其家人的人开发，实施和评估文化锚定干预措施的技能，3） 获得高级人种学和焦点小组方法论的知识和技能，以及4）在人种学研究领域开发和提交RO1。 Gerdner博士的三年研究培训计划由两个阶段的试点工作组成，旨在研究Hmong社区，以了解其文化实践，从而使基于证据的方案在文化上得到适应。 Gerdner博士的职业计划包括将研究技能和知识转移到有关与苗族移民的文化一致护理计划的发展/适应和评估中，向其他少数族裔/移民少数群体。