Older Mothers and Adult Daughters: High Blood Pressure Self Management Behaviors

高龄母亲和成年女儿：高血压自我管理行为

基本信息

批准号：
7812207
负责人：
Celeste Shawler
金额：
$ 8.66万
依托单位：
UNIVERSITY OF LOUISVILLE
依托单位国家：
美国
项目类别：
财政年份：
2008
资助国家：
美国
起止时间：
2008-05-01 至 2012-04-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7812207
关键词：
Adult Adult Children Aerobic Age Aging American Behavior Blood Blood Pressure Cardiovascular Diseases Cardiovascular system Cause of Death Characteristics Cholesterol Chronic Disease Cognitive Comorbidity Daughter Development Diagnosis Diet Discipline of Nursing Eating Education Elderly Environment Exhibits Fatty acid glycerol esters Geriatric Nursing Goals Health Health behavior Healthy People 2010 Heart Diseases Heart failure Hypertension Intake Intervention Intervention Studies Kentucky Knowledge Life Measures Mediating Mentors Mothers Myocardial Infarction Nurses Outcome Pennsylvania Philadelphia Physical activity Prevention Prevention strategy Primary Prevention Prophylactic treatment Publications Quality Control Recording of previous events Research Research Design Research Personnel Research Training Risk Risk Factors School Nursing Secondary Prevention Self Management Sodium Stroke Time Training Programs United States Weight Woman Work base college design experience fruits and vegetables health related quality of life improved killings lifestyle intervention meetings nursing intervention older women physical conditioning prevent professor programs theories

项目摘要

DESCRIPTION (provided by applicant): Heart disease is the leading cause of death in American women. Kentucky ranks as the 6 highest state in the nation for heart disease among women. This program of research will advance the initiatives of Healthy People 2010 by assisting women to develop self management behaviors to reduce and moderate hypertension, a major risk factor for heart disease. The long-term aim of this program of research is to determine the causal relationships of inner strength, perceived control, and quality of the relationship of older mothers and their adult daughters so that nursing interventions can be developed to improve cardiovascular self management behaviors and health related quality of life. The specific aim of this longitudinal predictive study is to determine the impact of inner strength, perceived control, and the quality of the relationship of older mothers and their adult daughters on blood pressure self management behaviors and health related quality of life. To achieve these goals, the candidate has designed a comprehensive training program with experienced nurse researchers who will facilitate the development of the candidate's expertise in the theoretical perspectives of chronic illness management, specifically blood pressure self management, and health related quality of life. The candidate will complete formal coursework and planned interactions and meetings with mentors and consultants. In addition, the candidate will participate in on-going research seminars, prepare and submit scientific publications, and present at scientific sessions. Mentors will be Dr. Debra Moser, Professor, U. of Kentucky and Dr. Neville Strumpf, Professor, U. of Pennsylvania. The proposed training and research environments are: the College of Nursing and Sanders Brown Center on Aging at the U. of Kentucky, Lexington, Kentucky; Hartford Center for Geriatric Nursing Excellence: U. of Pennsylvania, Philadelphia, Pennsylvania; and U. of Louisville School of Nursing, Louisville, Kentucky. The candidate will apply the knowledge gained from the training program to develop a program of research designed to enhance blood pressure self management behaviors of older women with hypertension. The aims of the proposed study are to: (1) Use dyadic analysis to examine the direct (i.e., 'actor') and indirect (i.e., 'partner') effects of mothers' and daughters' inner strength on the outcomes of self management strategies for blood pressure and health related quality of life in both mothers and daughters measured at baseline and 6 months later, and to determine whether there are significant changes over time in the outcomes; (2) To determine, using dyadic analysis, whether perceived control mediates the relationship between inner strength and outcomes in mothers and daughters; (3) To determine, using dyadic analysis, whether the mother-daughter relationship mediates the relationship between inner strength and outcomes in mothers and daughters; (4) To determine, using dyadic analysis, if there is a significant relationship between perceived control and quality of the mother-daughter relationship. The findings from this study will be used to support a program of theory-based nursing intervention studies designed to increase blood pressure self management behaviors of mother-daughter dyads when the older woman is diagnosed with hypertension. The adult daughter may or may not be diagnosed with hypertension and the study is designed to compare relationships whether or not daughters are diagnosed with hypertension. Previous work by the candidate demonstrated that inner strength was a key concept for older women and their adult daughters in managing health crisis. The candidate plans to further examine the significance of inner strength and modifiable health behaviors of older women with hypertension.

描述（由申请人提供）：心脏病是美国妇女死亡的主要原因。肯塔基州在女性中因心脏病而言是全美6个最高州。这项研究计划将通过协助妇女发展自我管理行为以减少和缓和高血压，这是心脏病的主要危险因素，从而推动2010年健康人的举措。这项研究计划的长期目的是确定内在力量，感知的控制以及老年母亲及其成年女儿关系的质量的因果关系，以便可以开发出护理干预措施来改善心血管自我管理行为和与健康相关的生活质量。这项纵向预测研究的具体目的是确定内部力量，感知控制的控制以及老年母亲及其成年女儿对血压自我管理行为和与健康相关的生活质量的关系的质量。为了实现这些目标，候选人为经验丰富的护士研究人员设计了一项全面的培训计划，他们将促进候选人在慢性疾病管理的理论观点，尤其是血压自我管理以及与健康相关的生活质量方面的理论观点的发展。候选人将完成正式的课程工作，并计划与导师和顾问进行互动以及会议。此外，候选人将参加正在进行的研究研讨会，准备和提交科学出版物，并参加科学会议。导师将是肯塔基大学教授的Debra Moser博士和宾夕法尼亚州美国教授Neville Strumpf博士。拟议的培训和研究环境是：肯塔基州列克星敦市的肯塔基州护理和桑德斯·布朗学院；哈特福德老年护理卓越中心：宾夕法尼亚州费城的宾夕法尼亚州；和肯塔基州路易斯维尔路易斯维尔护理学院的美国。候选人将运用培训计划中获得的知识来制定一项研究计划，旨在增强高血压老年妇女的血压自我管理行为。拟议的研究的目的是：（1）使用二元分析来检查母亲和女儿的内在力量对母亲和健康相关的女儿的自我管理策略的内在力量的直接（即“'演员”）和间接（即“伴侣”）的影响（即“伴侣”）的效果，以便在基准和6个月后的生活中确定了很大的变化。（2）使用二元分析确定感知的控制是否介导了母亲和女儿的内在力量与结果之间的关系；（3）使用二元分析确定母女关系是否介导了母亲和女儿的内在力量与结果之间的关系；（4）使用二元分析确定感知控制与母女关系质量之间存在显着关系。这项研究的发现将用于支持一项基于理论的护理干预研究计划，旨在在老年妇女被诊断出患有高血压时增加母女的血压自我管理行为。成年女儿可能被诊断出患有高血压，该研究旨在比较是否被诊断出患有高血压的女儿。候选人的先前工作表明，内在的力量是老年妇女及其成年女儿在管理健康危机方面的关键概念。候选人计划进一步研究内部力量和高血压老年妇女的可修改健康行为的重要性。