NAVAJO NATION COMPRESHENSIVE LONGTERM CARE STUDY

纳瓦霍族综合长期护理研究

• 批准号: 6070295
• 负责人: ROBERT JOHN
• 金额: $ 4.87万
• 依托单位: UNIVERSITY OF LOUISIANA AT MONROE
• 依托单位国家: 美国
• 财政年份: 1992
• 资助国家: 美国
• 起止时间: 1992-09-30 至 1999-11-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6070295
• 关键词: Native Americans; aging; caregivers; extended care; extended care facility; functional ability; health care service availability; health care service utilization; human old age (65+); human population study; human subject; social service

Using existing and newly developed data, this study will investigate the longterm care status of Navajo elders age 60 years and older. The study builds on existing comprehensive multi-functional assessments data from a random sample of 1,040 community-resident Navajo elders that has been collected during pilot research. There are two stages, and multiple objectives, to the proposed research. In Stage 1, existing data will be analyzed to: 1) describe patterns of medical and social service use; 2) determine the correlates of use/non-use for specific services; and 3) identify elders in caregiving and dependent situations . To understand the factors influencing use, the Navajo Nation will conduct an inventory and evaluation of the medical and social service environment that will be matched with data obtained from elders. The service environment information is necessary so that lack of service availability and accessibility can be considered when analyzing and interpreting the patterns of service use. In Stage 2, additional data will be collected to address three issues critical to policy and planning: 1) identifying barriers (both structural and psychological) to the use of medical and social services; 2) describing the role of the primary caregiver in the decision to use and access support services; and 3) identifying the important characteristics leading to institutionalization of dependent elders. The additional information will be collected from the primary caregiver of the elder (whose identity is available in the pilot project data). Thus, the two data sets will be explicitly linked. Interviews with caregivers will also provide detailed information about the perceptions and attitudes toward caregiving, caregiver burden, and salient and problematic aspects of the caregiving situation. The general framework for the research issues and hypotheses that will be investigated are primarily derived from gerontological research on non-Indian populations. Many of these questions will address whether the American Indian elderly population is different from populations on which most gerontological research has been conducted. Where possible, hypotheses and research questions have "been derived from the American Indian aging research literature. Questions and hypotheses will answer whether the Navajo elderly are different from other American Indian elders.

使用现有和新开发的数据，本研究将研究 纳瓦霍长老年龄60岁以上的长期护理状况。 研究 建立在现有的全面多功能评估数据的基础上 随机样本的1,040个社区居民纳瓦霍长老 在试点研究期间收集。 拟议的研究有两个阶段和多个目标。 在第1阶段，将分析现有数据：1）描述 医疗和社会服务使用； 2）确定相关性 使用/不使用特定服务； 3）确定护理中的长者 和依赖情况。了解影响使用的因素， 纳瓦霍民族将进行医学库存和评估 和将与获得的数据匹配的社会服务环境 来自长者。 服务环境信息是必要的 可以考虑缺乏服务可用性和可访问性 分析和解释服务使用的模式。 在第2阶段，将收集其他数据以解决三个问题 对政策和计划至关重要：1）确定障碍 和心理）使用医疗和社会服务； 2） 描述主要照顾者在使用决定中的作用和 访问支持服务； 3）确定重要特征 导致抚养长老的制度化。 附加 信息将从老年人的主要照顾者那里收集 （在Pilot项目数据中可以使用其身份）。 因此，两个 数据集将明确链接。 对照顾者的访谈将 还提供有关感知和态度的详细信息 朝着照料，照顾者负担，显着和有问题的方面 护理状况。 研究问题和假设的一般框架将是 研究主要源自有关的老年学研究 非印度人口。 这些问题中有许多将解决是否 美洲印第安人老年人口与人口不同 大多数老年学研究都已进行。 在可能的情况下， 假设和研究问题“源自美国 印度老化研究文献。 问题和假设会回答 纳瓦霍（Navajo）老年人是否与其他美洲印第安人不同 长者。