A Mixed Method Study on Ethnicity-Specific Physical Pain Among Older Women

老年女性种族特异性身体疼痛的混合方法研究

基本信息

批准号：
10238741
负责人：
LUCIANA LAGANA
金额：
$ 10.88万
依托单位：
CALIFORNIA STATE UNIVERSITY NORTHRIDGE
依托单位国家：
美国
项目类别：
财政年份：
2010
资助国家：
美国
起止时间：
2010-07-01 至 2021-12-24
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10238741
关键词：
Address Advocacy African American Age Agreement Alcohols American Analgesics Caring Clinical Code Cognitive Complex Comprehension Consultations Data Elderly Ethnic Origin Ethnic group European Failure Goals Grant Guidelines Health Health Personnel Hispanic Americans Human Resources Institute of Medicine (U.S.)Interview Investigation Knowledge Laboratories Length Literature Location Low income Marijuana Massage Measurement Measures Medical Methods Minor Modeling Nature Non-Prescription Drugs Nurses Outcomes Research Pain Pain Measurement Pain Research Pain intensity Pain management Patients Persons Pharmaceutical Preparations Physicians Post-Traumatic Stress Disorders Preparation Prevention Professional Organizations Publishing Questionnaires Race Research Research Personnel Research Priority Research Training Review Literature Sampling Savings Series Societies Stress Structure Suggestion Symptoms Target Populations Time Training United States National Institutes of Health United States Substance Abuse and Mental Health Services Administration Work base cultural competence demographics depressive symptoms disability ethnic difference experience improved inclusion criteria innovation older patient older women overtreatment pain reduction research data dissemination satisfaction study population symptomatology

项目摘要

Project Summary/Abstract The main goal of the proposed SC3 research is to improve the rigor of our laboratory’s current SC3 research on pain in mainly low-income older women. We will collect a sample of the same size and ethnic composition as that of the current grant, but will use a mixed method approach. This will allow us to go beyond the mere quantification of pain intensity -- which is a typical shortcoming of most of the pain literature -- by studying pain context factors both qualitatively and quantitatively. The outcomes of this research will help fill a gap in the ethnogeriatric literature. Management of pain in older age is a major health challenge that is a top NIH research priority. This is especially the case regarding pain care disparities, which NIH has urged to investigate a) within specific racial and ethnic groups as well as b) among older adults (Institute of Medicine, 2011), as we plan on doing in this study. Innovatively, we developed our own questions to best measure pain context factors via both open-ended qualitative and Likert-type scale items. Some of them were adapted by the PI from the classic Substance Abuse and Mental Health Services Administration’s (2004) guidelines on best practices for pain assessment and pain medication treatment, undertreatment, and overtreatment. In addition to being based on a review of the literature, other items were based on the PI’s in-person consultations with the American Pain Society’s former president and with medical doctors and nurses belonging to this professional organization. Using the empirically-supported inclusion criterion of experiencing pain within the past 4 weeks, we plan to: create pain profiles based on the entire sample (N=300), with 100 African-American, 100 Hispanic-American, and 100 European-American older women in Aim 1; identify ethnicity-specific pain profile differences, find ethnicity-specific reasons for these differences, and create ethnicity-specific pain profiles in Aim 2; as well as investigate the relationship of ethnicity-specific pain profiles with empirically validated pain-related quantitative variables in Aim 3. Measurements will include: a demographics list, a well-established and medically-focused pain questionnaire, the aforementioned new pool of pain context items, as well as quantitative measures of daily minor cognitive failures, non-medical stress, PTSD symptomatology, and depressive symptomatology.

项目概要/摘要拟议的SC3研究的主要目标是提高我们实验室当前SC3研究的严谨性我们将收集相同规模和种族构成的样本。与目前的拨款一样，但将使用混合方法，这将使我们超越单纯的方法。通过研究来量化疼痛强度——这是大多数疼痛文献的典型缺点这项研究的结果将有助于填补疼痛背景因素的定性和定量方面的空白。民族老年学文献指出，老年疼痛的管理是一项重大的健康挑战，是美国国立卫生研究院 (NIH) 的一项顶级研究。研究重点尤其是关于疼痛护理差异的情况，NIH 敦促这样做。调查 a) 在特定种族和族裔群体中以及 b) 在老年人中（医学研究所， 2011），正如我们计划在这项研究中所做的那样，我们创新性地开发了自己的问题来最好地衡量疼痛。通过开放式定性和李克特式量表项目来确定背景因素，其中一些项目经过了改编。 PI 源自经典的药物滥用和心理健康服务管理局 (2004) 指南疼痛评估和止痛药物治疗、治疗不足和过度治疗的最佳实践。除了基于文献综述之外，其他项目均基于 PI 的亲身体验与美国疼痛协会前主席以及医生和护士进行协商属于这个专业组织使用经验支持的纳入标准。如果您在过去 4 周内感到疼痛，我们计划：根据整个样本 (N=300) 创建疼痛档案，其中 100 目标 1 中包括非洲裔美国人、100 名西班牙裔美国人和 100 名欧洲裔美国老年女性；种族特定的疼痛特征差异，找到这些差异的种族特定原因，并创建目标 2 中种族特定的疼痛特征以及调查种族特定疼痛特征之间的关系在目标 3 中使用经经验验证的与疼痛相关的定量变量。测量将包括：人口统计列表、完善且以医学为重点的疼痛调查问卷、新主题疼痛背景项目池，以及日常轻微认知障碍的定量测量，非医学压力、PTSD 症状和抑郁症状。