A Caregiving Intervention for Rural African Americans

针对农村非裔美国人的护理干预

基本信息

批准号：
7595104
负责人：
YVONNE D EAVES
金额：
$ 12.12万
依托单位：
UNIVERSITY OF ALABAMA AT BIRMINGHAM
依托单位国家：
美国
项目类别：
财政年份：
2005
资助国家：
美国
起止时间：
2005-03-01 至 2011-02-28
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7595104
关键词：
Acute Address African African American Aging American Area Bathing Bereavement Caregivers Caring Cessation of life Chronic Chronic Disease Communities Community Healthcare Complex County Data Decision Making Deglutition Deglutition Disorders Dependence Development Disease Eating Elderly Environment Ethnography Event Family Family Caregiver Family Process Foundations Health Health Professional Health Services Health care facility Healthcare Healthcare Systems Home environment Hour Individual Institutionalization Instruction Intervention K-Series Research Career Programs Knowledge Lead Legal Length Life Literature Long-Term Care Measures Mentors Methods Movement Myocardial Infarction North Carolina Persons Phase Process Religion and Spirituality Reporting Research Residual state Resources Risk Rural Scientist Self Care Series Services Social Work Sterile coverings Stroke Techniques Testing Time Training Vulnerable Populations Wood material base career caregiving comparison group coping design experience frailty group intervention low socioeconomic status patient home care post intervention programs response skills social statistics therapy design

项目摘要

DESCRIPTION (provided by applicant): Caregiving for older adults usually results from effects of chronic illness or frailty which may lead to transitions that may require informal and formal home care, relocation or institutional care. Caregiving transitions usually occur in response to some acute health event of the caregiver or care recipient, or when the responsible caregiver is no longer able to care for the older adult. Research on caregiving transitions in rural African Americans is absent from the literature. Similarly, no research on caregiving interventions specifically designed for African Americans was found. This Mentored Scientist Career Development Award will provide the candidate with the skills and knowledge necessary to establish an independent program of research in the area of culturally specific caregiving interventions. In conjunction with relevant career training, I plan to obtain ethnographic data (Phase 1) that will guide development and pilot testing of a contextually and culturally relevant tailored intervention (Phase 2) to assist rural African American families in planning for, coping with, and adapting to caregiving transitions that result from episodic or emergent health events. Specifically, the Phase 2 pilot test will use a quasi-experimental nonequivalent comparison group pretest-posttest design. The Phase 2 Pilot Test will include 30 families (care recipients, primary, secondary, and tertiary caregivers), 15 each in the comparison and treatment group. The intervention will be delivered to each family in the home, over four sessions, spaced one-week apart. The intervention sessions will include (1) information about health care and community resources in local towns, (2) instructions on strategies for navigating the health care system and resolving problematic issues, (3) identifying emergent health events and caregiving transitions, (5) decision-making about long-term care, and (6) legal and financial concerns. Caregiver perceived need for help, caregiver perceived need to perform caregiving duties, caregiver perceived self-care needs, utilization of formal services and total caregiving hours per week will be measured at baseline and 3, 6, 9, and 12 months post-intervention. Longitudinal data analytic techniques, descriptive statistics, and qualitative analytic methods will be employed.

描述（申请人提供）：老年人的照料通常是由于慢性疾病或脆弱的影响而导致的，这可能导致过渡可能需要非正式和正式的家庭护理，搬迁或机构护理。护理过渡通常是为了响应护理人员或护理人员的某些急性健康事件，或者当负责任的照料者不再能够照顾老年人时。文献中没有关于农村非裔美国人的护理过渡的研究。同样，未发现针对非裔美国人专门设计的护理干预措施的研究。这项受过指导的科学家职业发展奖将为候选人提供在文化特定的护理干预措施领域建立独立研究计划所需的技能和知识。我计划与相关的职业培训一起获得民族志数据（第1阶段），该数据将指导和试点量身定制的干预措施（第2阶段），以协助非裔美国人家庭计划，应对和适应来自情节或新兴健康事件的护理过渡。具体而言，第2阶段试验测试将使用准实验性的非比较组预测试设计。第2阶段试验测试将包括30个家庭（护理接受者，初级，次要和三级护理人员），在比较和治疗组中分别15个。干预措施将交付给家庭中的每个家庭，超过四个会议，相距一周。干预会议将包括（1）有关当地城镇中医疗保健和社区资源的信息，（2）有关导航医疗保健系统并解决问题问题的策略的说明，（3）确定新兴的健康事件和护理过渡，（5）关于长期护理的决策，以及（6）法律和财务问题。照顾者认为需要帮助，看护人认为需要执行护理工作，看护人感知到的自我保健需求，对正式服务的利用以及每周的总照料时间将在基线和干预后的3、6、6、9和12个月进行测量。将采用纵向数据分析技术，描述性统计和定性分析方法。