A Mixed Methods Investigation of Self-Care of Chronic Illness in Community-Dwelling Older Adults with Hearing Loss

社区听力损失老年人慢性病自我护理的混合方法调查

基本信息

批准号：
10750274
负责人：
Laura Giambattista Wallace
金额：
$ 4.77万
依托单位：
UNIVERSITY OF PENNSYLVANIA
依托单位国家：
美国
项目类别：
财政年份：
2023
资助国家：
美国
起止时间：
2023-09-30 至 2025-06-29
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10750274
关键词：
Address Adult Age Aging Asthma Award Behavior Benign Biometry Black American Caring Chronic Chronic Care Chronic Disease Clinical Communication Barriers Communication impairment Communities Comprehension Conceptual Domain Data Dementia Diabetes Mellitus Disabled Persons Discipline of Nursing Disease Progression Elderly Enrollment Environment Environmental Risk Factor Future Goals Health Health Care Costs Health Professional Health Promotion Health system Healthcare Hearing Aids Heart failure Hospitalization Hospitals Impaired cognition Individual National Research Service Award Inequity Intervention Interview Investigation Knowledge Low income Maintenance Managed Care Medical Mental Depression Mentorship Methodology Methods Mexican Americans Minority Minority Groups Mission Modeling Monitor National Institute of Nursing Research National Research Service Awards Outcome Ownership Participant Persons Pharmaceutical Preparations Physical environment Population Process Pure-Tone Audiometry Qualitative Research Quality of life Reporting Research Research Methodology Research Personnel Research Training Resources Role Sampling Science Self Care Severities Severity of illness Social Environment Social isolation Surveys Training Universities Weight biopsychosocial care delivery career clinical development clinically significant design disability disorder prevention experience functional disability health application health care settings health equity health inequalities health management hearing impairment hearing loss treatment human old age (65+)improved low health literacy mortality multidisciplinary outcome disparities preservation prevention practice programs skill acquisition skills standard care theories therapy development

项目摘要

Project Summary The goal of this individual National Research Service Award (NRSA) application is to provide the applicant with research training to become an independent investigator addressing disability health equity for older adults with hearing loss (HL) by focusing on the role of hearing loss (HL) in health maintenance practices such as self-care of chronic illness. To achieve this goal, training will occur in a resource rich environment with support from a multidisciplinary mentorship team with expertise in HL, nursing, aging, disability health equity, health promotion, chronic illness, biostatistics, mixed methods, and qualitative research. The applicant proposes a training plan that includes coursework, practical training, seminars, and engagement in ongoing research. Specific training goals of this award include: 1) Gain a foundational understanding of the principles of health equity research, focusing on disability health equity, 2) Continue developing the methodological and analytical qualitative, quantitative, and mixed methods skills required to conduct rigorous mixed methods research, 3) Develop theoretical and conceptual knowledge in the science of HL, aging, chronic illness, and self-care to support empirical investigation and intervention development, and 4) Acquire professional development skills to support a career as an independent investigator at a research-intensive university. The research proposed for this NRSA addresses the role of HL in self-care of chronic illness. Millions of older adults have clinically meaningful HL and a chronic illness. Self-care is a cornerstone of health promotion and management chronic illness. Yet, the impact of HL on self-care of chronic illness is not well understood. Using an integrated biopsychosocial model of disability and self-care as the guiding framework, the applicant will examine the role of HL in self-care of chronic illness. This study proposes the following aims: 1) Describe self-care behaviors in older adults with unaided HL and compare self-care behaviors by HL severity, 2) Explore the experience of caring for chronic illness while having unaided HL, and how HL impacts self-care, and 3) Describe differences in the experiences of self-care of chronic illness by self-care behavior scores and HL severity. This mixed methods study will use a parallel-convergent design to enroll a single sample of community-dwelling hospitalized older adults with a chronic illness and unaided HL. The proposed study aligns with the priorities of the National Institute of Nursing Research by advancing health equity for people with disabilities, through addressing health promotion and disease prevention in older adults with HL. Having a greater understanding of how HL influences self-care behaviors will support the development of interventions enabling older adults with HL to maximize health through self-care.

项目概要这项国家研究服务奖 (NRSA) 申请的目标是提供接受过研究培训的申请人将成为一名解决残疾健康公平问题的独立调查员患有听力损失 (HL) 的老年人关注听力损失 (HL) 在健康维护实践中的作用例如慢性疾病的自我护理。为了实现这一目标，培训将在资源丰富的环境中进行来自多学科指导团队的支持，他们在 HL、护理、老龄化、残疾健康公平、健康促进、慢性病、生物统计学、混合方法和定性研究。申请人提出一个培训计划，包括课程作业、实践培训、研讨会和参与正在进行的活动研究。该奖项的具体培训目标包括： 1) 对以下原则有基本的了解：健康公平研究，重点关注残疾健康公平，2) 继续发展方法论和进行严格的混合方法所需的分析定性、定量和混合方法技能研究，3) 发展 HL、衰老、慢性病和疾病科学方面的理论和概念知识自我保健以支持实证调查和干预措施的发展，以及 4) 获得专业知识发展技能，以支持在研究密集型大学担任独立调查员的职业生涯。本 NRSA 提出的研究探讨了 HL 在慢性病自我护理中的作用。数百万老年人患有有临床意义的 HL 和慢性疾病。自我保健是健康促进的基石和管理慢性疾病。然而，HL 对慢性病自我护理的影响尚不清楚。使用残疾和自我保健的综合生物心理社会模型作为指导框架，申请人将研究 HL 在慢性病自我护理中的作用。本研究提出以下目标：1）描述患有独立 HL 的老年人的自我护理行为，并按 HL 严重程度比较自我护理行为，2) 探索患有独立 HL 时护理慢性疾病的经历，以及 HL 如何影响自我护理，以及 3) 通过自我护理行为评分和 HL 描述慢性病自我护理体验的差异严重程度。这项混合方法研究将使用并行收敛设计来招募单个样本患有慢性疾病且未经辅助的 HL 的社区居民住院老年人。拟议的研究符合与国家护理研究所的优先事项相结合，促进患有以下疾病的人的健康公平通过解决 HL 老年人的健康促进和疾病预防问题。拥有一个更好地了解 HL 如何影响自我保健行为将支持干预措施的制定帮助患有 HL 的老年人通过自我护理最大限度地保持健康。