The Life Course Approach to Caregiving for Aging Parents: Role of Adverse Childhood Experiences

照顾年迈父母的生命历程方法：不良童年经历的作用

• 批准号: 10584218
• 负责人: Jooyoung Kong
• 金额: $ 13.15万
• 依托单位: UNIVERSITY OF WISCONSIN-MADISON
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-12-15 至 2027-11-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10584218
• 关键词: Address; Adult; Adult Children; Affect; Age; Aging; American; Applications Grants; Area; Attention; Caregivers; Caring; Characteristics; Child; Coping Skills; Data; Data Analyses; Data Collection; Development Plans; Distal; Elderly; Emotional; Emotions; Event; Exposure to; Family; Family Caregiver; Family Relationship; Family member; Goals; Health; Household; Hydrocortisone; Instruction; Interview; Knowledge; Life; Life Cycle Stages; Link; Literature; Long-Term Effects; Mentored Research Scientist Development Award; Mentorship; Methodology; Outcome; Parents; Personal Satisfaction; Persons; Physiological; Policies; Predisposition; Prevalence; Public Health; Qualitative Research; Recording of previous events; Reporting; Research; Research Methodology; Resources; Risk Factors; Role; Social status; Societies; Source; Specific qualifier value; Stress; Stress and Coping; Stressful Event; Substance Use Disorder; Surveys; Training; United States; adverse childhood events; care giving burden; care recipients; career; career development; caregiver interventions; caregiver stress; caregiving; caregiving outcomes; childhood adversity; coping; diaries; early life adversity; experience; family caregiving; improved; innovation; meetings; member; middle age; negative affect; neglect; novel; pediatric trauma; programs; protective factors; psychobiology; response; skills; sociodemographics; statistics; stressor; traumatic event

PROJECT SUMMARY/ABSTRACT Adverse Childhood Experiences (ACEs) have become a significant public health concern in the U.S. ACEs are potentially traumatic events that occur to children under the age of 18, including all types of abuse, neglect, and exposure to household challenges (e.g., having lived with a household member with substance use disorder). Varying sources suggest that 50-60% of U.S. adults report at least one ACE, and 15-25% report three or more. These statistics are concerning because experiencing ACEs has been shown to negatively affect various aspects of adult lives, including health outcomes, relationships, and financial and social status. Despite this established research, the impact of ACEs has not been studied in the context of caregiving for aging parents. Extensive prior studies have identified a comprehensive list of risk and protective factors related to caregiver stress; however, these factors tend to be proximal with little attention given to distal or early life course factors such as ACEs. Relying on the life course perspective, the proposed research aims to examine the effect that ACEs have on the experience and outcomes of caregiving for aging parents. Using nationally representative data from the Midlife in the United States (MIDUS) studies, secondary data analyses will be performed to address the first two aims: 1) Describe the prevalence and characteristics of filial caregivers who experienced ACEs, and 2) Examine the effect of ACEs in the association between daily caregiving and short- and long-term health outcomes. The second aim particularly focuses on exploring caregivers’ physiological functioning using daily cortisol levels to successfully quantify stress effects associated with filial caregiving. In addition, qualitative research will be conducted to address the third aim: 3) Explore caregivers’ experience of ACEs and illustrate whether and how ACEs affect their caregiving experience in terms of stress sources and the strategies they use to cope with caregiving stress. This K01 award would provide Dr. Jooyoung Kong with the training required to become an independent scholar and leading expert in later-life family relationships and caregiving for adults who experienced childhood trauma and adversity. The proposed training plan would allow Dr. Kong to receive instruction and mentorship toward meeting the following career goals: 1) Increase substantive knowledge in psychobiology; 2) Obtain advanced training in quantitative research methods and analysis; and 3) Gain advanced training in qualitative research methods and analysis. The K01 award will lead to an R01 grant application that will propose to conduct primary data collection to further investigate caregivers with histories of ACEs informed by Dr. Kong’s newly acquired substantive knowledge and methodological skills. Ultimately, this research will inform novel programs and policies to improve the health and well-being of family caregivers whose roles are becoming more significant in the current aging society.

项目概要/摘要 不良童年经历 (ACE) 已成为美国的一个重大公共卫生问题。ACE 是 18 岁以下儿童发生的潜在创伤事件，包括所有类型的虐待、忽视、 以及面临家庭挑战（例如，与吸毒的家庭成员住在一起） 不同的来源表明，50-60% 的美国成年人报告至少有一项 ACE，15-25% 的人报告至少有一项 ACE。 这些统计数据令人担忧，因为经历 ACE 会带来负面影响。 影响成年人生活的各个方面，包括健康结果、人际关系以及财务和社会地位。 尽管有这项研究，但 ACE 的影响尚未在护理背景下进行研究。 先前的大量研究已经确定了一系列相关的风险和保护因素。 然而，这些因素往往是近端因素，而很少关注远端或早期生活 本研究旨在从生命历程的角度来检验诸如 ACE 之类的过程因素。 ACE 对年迈父母的护理体验和结果的影响 在全国范围内使用。 来自美国中年 (MIDUS) 研究的代表性数据，二次数据分析将是 为解决前两个目标而进行： 1) 描述孝顺照顾者的普遍性和特征 经验丰富的 ACE，以及​​ 2) 检查 ACE 在日常护理和短期护理之间的关联中的影响 第二个目标特别注重探索护理人员的生理状况。 使用每日皮质醇水平来成功量化与孝顺护理相关的压力影响。 此外，将进行定性研究来解决第三个目标：3）探索护理人员的经验 ACE 并说明 ACE 是否以及如何影响他们的压力源和护理体验 他们用来应对护理压力的策略。这个 K01 奖将为 Jooyoung Kong 博士提供帮助。 成为晚年家庭关系方面的独立学者和领先专家所需的培训，以及 拟议的培训计划将允许照顾经历过童年创伤和逆境的成年人。 Kong 博士将接受指导和指导，以实现以下职业目标： 1) 增加 2) 获得定量研究方法的高级培训 分析；3) 获得定性研究方法和分析方面的高级培训。 R01 拨款申请将建议进行主要数据收集以进一步对护理人员进行调查 孔博士新获得的实质性知识和方法论为 ACE 的历史提供了信息 最终，这项研究将为改善人们的健康和福祉的新计划和政策提供信息。 在当今老龄化社会中，家庭护理人员的作用变得越来越重要。