Temporally-Oriented Subjective Well-being Across Transitions-Resources & Outcomes
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 793
- 试验地点
- 1
- 主要终点
- healthcare costs
研究概览
简要总结
As individuals age, they undergo transitions in many aspects of their lives. These transitions include social, economic and health transitions. People review their lives, and reflect on past choices. Future time is limited by the increasing proximity to end of life. This may lead to regrets and, in people with the ability to use compensatory mechanisms, a redoubling of efforts to achieve valued goals or a reprioritization of valued goals. In the context of aging, individuals' past, present, and future-oriented subjective well-being (SWB) may change. There is an incomplete understanding of the relationship of SWB, intra- and inter-personal resources, and outcomes, (particularly health and healthcare-cost outcomes). These issues have complicated the use of SWB measures and the investigators are left with traditional metrics such as life expectancy, infant mortality, wealth, and poverty to assess healthy aging, resulting in an incomplete picture of healthy aging. This project will examine the relationships among SWB, intra- and inter-personal resources, and health and healthcare-cost outcomes. It will advance the understanding of SWB and its role in healthy aging in order to assist policy makers in valuing the potential benefits of improving SWB on health and healthcare costs. The investigators will accomplish this through the following specific aim:
Aim 1: To determine how SWB (past, present, and future-oriented): (1) is affected by life transitions, and (2) affects outcomes after life transitions.
详细描述
Aim: To determine how Subjective Well-Being (SWB; past, present, and future-oriented): (1) is affected by life transitions, and (2) affects outcomes after life transitions.
Rationale: Social, economic, and health transitions are common in aging populations. Adaptation to these transitions likely impacts SWB and therefore may alter subsequent health and healthcare-cost outcomes.
Hypotheses: Negative life transitions will negatively impact assessments of present and future-oriented SWB and result in worse health and healthcare-cost outcomes. More positive intra- and inter-personal resources will lessen this impact. Having better present or future-oriented SWB will diminish the impact of the transition on health and healthcare-cost outcomes.
Approach: Investigators will establish an observational cohort of adults aged 50 and older (n=600) seen in the same primary care practice stratified by gender, race, and SWB. Investigators will collect information at baseline and each of two annual follow-up assessments regarding SWB, intra- and inter-personal resources, and outcomes. Investigators will compare those who experience life transitions to those who do not in terms of their changes in the temporal perspectives of SWB, health, and healthcare-cost outcomes.
The successful completion of this project will disentangle temporal perspectives in SWB, further the understanding of the impact of aging and life transitions on SWB, relate individuals' SWB to health and healthcare-cost outcomes, and clarify the relationship of experienced SWB to evaluative SWB, all within the context of intra- and inter-personal resources. It will enable researchers, clinicians, and policy makers to better use SWB as a metric assessing the health and welfare of individuals and societies. The study population is primarily older adults from a primary care practice, University of Pittsburgh's General Internal Medicine Oakland (GIMO).
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
入排标准
- 年龄范围
- 50 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •participants will be included if they are GIMO patients who complete the FAST,
- •are aged 50 or older,
- •agree to participate, and
- •belong to an unfilled bin.
排除标准
- •Investigators will exclude individuals from the purposive sample who do not provide informed consent. There will be no exclusion based on race, gender, immigration, or HIV status.
结局指标
主要结局
healthcare costs
时间窗: Over at least 3 years
healthcare costs
次要结局
- hospital length of stay(Over at least 3 years)
- disease management over one year(Over at least 3 years)
- number of new diagnoses developed(Over at least 3 years)
- hospitalization(Over at least 3 years)
研究者
Rachel Hess
MD
University of Pittsburgh