Mental Health Experiences of Hispanic and Latinx ADRD Caregivers

西班牙裔和拉丁裔 ADRD 护理人员的心理健康经历

• 批准号: 10617311
• 负责人: Frank Puga
• 金额: $ 61.75万
• 依托单位: UNIVERSITY OF ALABAMA AT BIRMINGHAM
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-05-15 至 2027-04-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10617311
• 关键词: Acculturation; Address; Admission activity; Affect; Aging; Alzheimer' s disease related dementia; Anxiety; Automobile Driving; Behavioral; Behavioral Symptoms; Caregivers; Cross-Cultural Comparison; Dementia; Dementia caregivers; Development; Distal; Elderly; Enrollment; Ethnic Origin; Family Caregiver; Funding; Health; Health Disparities Research; Hispanic; Hispanic Populations; Impairment; Individual; Individual Differences; Intervention; Investigation; Knowledge; Latinx; Latinx population; Link; Masks; Measures; Mental Depression; Mental Health; Modeling; Not Hispanic or Latino; Nursing Homes; Outcome; Participant; Pattern; Personal Satisfaction; Persons; Population; Process; Psychopathology; Questionnaires; Race; Reporting; Research; Research Design; Risk; Risk Reduction; Sampling; Severities; Stress; Surveys; Symptoms; Testing; Time; Underrepresented Populations; United States National Institutes of Health; Variant; Work; anxiety symptoms; caregiving; clinically significant; daily functioning; depressive symptoms; design; diaries; disability; ethnic diversity; experience; high risk; individual variation; informal caregiving; innovation; multilevel analysis; peer; persistent symptom; poor health outcome; promote resilience; protective factors; psychologic; racial diversity; resilience; social culture; sociocultural determinant; stressor; theories

Project Summary/Abstract Hispanic and Latinx (H&L) family caregivers of individuals living with Alzheimer’s disease and related dementias (ADRDs) are uniquely at risk for poor mental health outcomes due to increased stress associated with earlier ADRD onset and increased severity of symptoms among the H&L population. While the link between caregiving- related stress and health outcomes is well-documented among the general ADRD caregiver population, limited knowledge on dynamic predictors of H&L ADRD caregiver mental health trajectories exists. Further, the interactions between risk/protective and cultural factors that increase resilience and reduce the risk of poor mental health outcomes over time are relatively unknown. The purpose of this study is to investigate how interactions between contextual, individual-level, and cultural factors impact daily and long-term patterns of depression and anxiety symptoms among H&L caregivers. Using an innovative, multi-time scale design and analytical strategy grounded in resilience theory, we will examine intra-individual variability (e.g., fluctuations in daily experiences) and inter-individual differences (e.g., variations within distinct groups such as those with high levels of acculturation vs. those with low levels) and possible relationships among them. We will use multilevel modeling and group-based trajectory modeling to test the hypothesis that contextual, individual-level, and cultural factors interact to impact daily and long-term patterns of mental health outcomes among H&L ADRD caregivers. To test this hypothesis, we propose the following aims: (1) to examine contextual, individual-level, and cultural factors that impact the day-to-day mental health experiences of H&L ADRD caregivers; (2) to characterize mental health developmental trajectories among H&L ADRD caregivers using group-based trajectory modeling, and (3) to determine risk/protective factors and mental health trajectories that predict distal health outcomes among H&L ADRD caregivers. Results from this study will inform a dynamic framework of H&L ADRD caregiver mental health by identifying modifiable intervention targets associated with resilience over time. This study represents a critical step forward in developing effective, culturally sensitive interventions to support the health and well-being of H&L ADRD caregivers who are underrepresented and underserved in the field of aging.

项目摘要/摘要 西班牙裔和拉丁裔（H＆L）患有阿尔茨海默氏病和相关痴呆症的人的家庭护理人员 （ADRDS）由于与早期相关的压力增加而面临不良心理健康结果的唯一风险 在H＆L人群中，ADRD发作和症状的严重程度增加。而关怀之间的联系 - 相关的压力和健康成果在普通的ADRD护理人员人群中有充分的记录，有限 存在有关H＆L ADRD护理人员心理健康轨迹的动态预测指标的知识。此外， 风险/保护性和文化因素之间的相互作用，以提高弹性并降低差的风险 随着时间的流逝，心理健康结果相对尚不清楚。这项研究的目的是研究如何 上下文，个人层面和文化因素之间的相互作用影响每日和长期模式 H＆L护理人员中的抑郁症和焦虑症状。使用创新的多个时间秤设计和 以弹性理论为基础的分析策略，我们将检查个体内的变异性（例如，波动 日常经历）和个体间差异（例如，不同群体的变化，例如高 适应水平与较低水平的人以及可能的关系。我们将使用多级 建模和基于群体的轨迹建模，以检验上下文，个人层面和文化的假设 因素相互作用以影响H＆L ADRD护理人员中心理健康结果的日常和长期模式。 为了检验这一假设，我们提出以下目的：（1）检查上下文，个人层面和文化 影响H＆L ADRD护理人员日常心理健康经历的因素； （2）表征精神 H＆L ADRD护理人员之间使用基于组的轨迹建模和（3）的健康发展轨迹 确定风险/保护因素和心理健康轨迹，以预测H＆L之间的远端健康状况 ADRD护理人员。这项研究的结果将为H＆L ADRD护理人员心理健康的动态框架提供信息 通过确定随着时间的推移与弹性相关的可修改干预目标。这项研究代表了一个关键 向前迈进，发展有效的，具有文化敏感的干预措施，以支持H＆L的健康和福祉 在衰老领域中人数不足和服务不足的ADRD护理人员。