The ultimate goal of this Mentored Career Development Award (K01) is to provide the applicant with skills and experience to establish an independent program of research that builds upon the limited understanding of physical disability and associated care needs among American Indian elderly and same-aged Whites. The training plan of this award is designed to provide rigorous instruction in gerontological health, primarily through the development of new specific knowledge in American Indian health policy, health care, and culture, as well as through training in the area of epidemiology and theoretical aspects of disability. The proposed training goals provide additional mentoring in (1) disability studies, (2) unmet care needs and needs assessment, (3) health care policy and cultural aspects of American Indian health and health care, and (4) advanced quantitative methods for the social sciences. The immediate research goal of this career development award is to collect primary data using a cross-sectional design. Data will be collected with a survey instrument via face-to-face interviews with community-dwelling elderly 65 years or older. A total of 400 completed interviews will be sought, with 200 American Indian and 200 White elderly participants. The research will examine racial differences in physical disability and in the effect of comorbidity and functional limitations on physical disability. The research will also investigate racial differences in unmet care needs and how ethnic identity among American Indian elderly influences unmet care needs. ? ? Findings from this study will allow for the refining and reshaping of a theoretical model to better understand unique aspects of disability among American Indian elders. This research will also serve as the baseline for a future R01 application that will expand this work into a longitudinal study, providing a means to examine the progression of disability over time among American Indian elderly. ? ? Understanding racial differences in the development and experience of disability will yield valuable information on how to reduce the health disparities currently faced by American Indian elders. ? ?

Agency
National Institute of Health (NIH)
Institute
National Institute on Aging (NIA)
Type
Research Scientist Development Award - Research & Training (K01)
Project #
5K01AG022336-04
Application #
7365067
Study Section
National Institute on Aging Initial Review Group (NIA)
Program Officer
Stahl, Sidney M
Project Start
2005-03-01
Project End
2010-02-28
Budget Start
2008-03-01
Budget End
2009-02-28
Support Year
4
Fiscal Year
2008
Total Cost
$116,665
Indirect Cost
Name
West Virginia University
Department
Public Health & Prev Medicine
Type
Schools of Medicine
DUNS #
191510239
City
Morgantown
State
WV
Country
United States
Zip Code
26506
Schure, Marc B; Goins, R Turner (2016) An Examination of the Disablement Process Among Older American Indians: The Native Elder Care Study. Gerontologist 56:948-55
Schure, Marc B; Goins, R Turner (2015) Association of depressive symptomatology with receipt of informal caregiving among older American Indians: the native elder care study. Am J Geriatr Psychiatry 23:579-88
Conte, Kathleen P; Schure, Marc B; Goins, R Turner (2015) Correlates of social support in older American Indians: the Native Elder Care Study. Aging Ment Health 19:835-43
Schure, Marc B; Conte, Kathleen P; Goins, R Turner (2015) Unmet Assistance Need Among Older American Indians: The Native Elder Care Study. Gerontologist 55:920-8
Innes, Kim E; Alshaarawy, Omayma; Goins, R Turner (2014) Association between self-reported type 2 diabetes mellitus and physical function in older American Indians. J Am Geriatr Soc 62:380-2
Schure, Marc B; Odden, Michelle; Goins, R Turner (2013) The association of resilience with mental and physical health among older American Indians: the Native Elder Care Study. Am Indian Alsk Native Ment Health Res 20:27-41
Goins, R Turner; Gregg, Jeffrey J; Fiske, Amy (2013) Psychometric Properties of the Connor-Davidson Resilience Scale With Older American Indians: The Native Elder Care Study. Res Aging 35:123-143
Goins, R Turner; Innes, Kim; Dong, Lili (2012) Lower body functioning prevalence and correlates in older American Indians in a southeastern tribe: the Native Elder Care Study. J Am Geriatr Soc 60:577-82
Sabanayagam, Charumathi; Shankar, Anoop; Buchwald, Dedra et al. (2011) Insomnia symptoms and cardiovascular disease among older American Indians: the Native Elder Care Study. J Environ Public Health 2011:964617
Goins, R Turner; Pignataro, Rose M; Dong, Lili et al. (2011) Handgrip strength among older American Indians: the Native Elder Care Study. Age Ageing 40:523-7

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