# NAVAJO NATION COMPRESHENSIVE LONG-TERM CARE STUDY

> **NIH NIH R01** · UNIVERSITY OF KANSAS LAWRENCE · 1992 · $176,197

## Abstract

Using existing and newly developed data, this study will investigate the
longterm care status of Navajo elders age 60 years and older.  The study
builds on existing comprehensive multi-functional assessments data from a
random sample of 1,040 community-resident Navajo elders that has been
collected during pilot research.

There are two stages, and multiple objectives, to the proposed research.
In Stage 1, existing data will be analyzed to: 1) describe patterns of
medical and social service use; 2) determine the correlates of
use/non-use for specific services; and 3) identify elders in caregiving
and dependent situations . To understand the factors influencing use, the
Navajo Nation will conduct an inventory  and evaluation of the medical
and social service environment that will be matched with data obtained
from elders.  The service environment information is necessary so that
lack of service availability and accessibility can be considered when
analyzing and interpreting the patterns of service use.

In Stage 2, additional data will be collected to address three issues
critical to policy and planning: 1) identifying barriers (both structural
and psychological) to the use of medical and social services; 2)
describing the role of the primary caregiver in the decision to use and
access support services; and 3) identifying the important characteristics
leading to institutionalization of dependent elders.  The additional
information will be collected from the primary caregiver of the elder
(whose identity is available in the pilot project data).  Thus, the two
data sets will be explicitly linked.  Interviews with caregivers will
also provide detailed information about the perceptions and attitudes
toward caregiving, caregiver burden, and salient and problematic aspects
of the caregiving situation.

The general framework for the research issues and hypotheses that will be
investigated are primarily derived from gerontological research on
non-Indian populations.  Many of these questions will address whether the
American Indian elderly population is different from populations on which
most gerontological research has been conducted.  Where possible,
hypotheses and research questions have "been derived from the American
Indian aging research literature.  Questions and hypotheses will answer
whether the Navajo elderly are different from other American Indian
elders.

## Key facts

- **NIH application ID:** 3123266
- **Project number:** 1R01AG011294-01
- **Recipient organization:** UNIVERSITY OF KANSAS LAWRENCE
- **SAM.gov UEI:** SSUJB3GSH8A5
- **Principal Investigator:** ROBERT JOHN
- **Activity code:** R01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 1992
- **Award amount:** $176,197
- **Award type:** 1
- **Project period:** 1992-09-30 → 1996-06-30

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/3123266

## Citation

> US National Institutes of Health, RePORTER application 3123266, NAVAJO NATION COMPRESHENSIVE LONG-TERM CARE STUDY (1R01AG011294-01). Retrieved via MORVS 2026-10-25 from https://api.morvs.ai/grant/nih/3123266. Licensed CC0.

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