Building Community Capacity for Disability Prevention for Minority Elders COVID-19 supplement

项目总结 此前的研究表明，重大健康危机和经济冲击可能对 精神健康，当需要物理隔离时，这种情况会恶化。特别脆弱的人群 是那些有身体和情感问题的人，而且是族裔/种族和语言上的少数族裔长老，许多 其中一些人生活在感染率高和缺乏适当卫生资源的地区。持续的影响 少数族裔老年人面临的危机是，他们可能需要更长的恢复时间，需要更长的隔离期 理解和解决问题的关键。我们建议的补充是从积极心态的强大 Body临床试验，显示出心理健康和身体残疾相结合的积极结果 管理和预防干预。我们试图评估这一计划在减少 老年人死亡率(目标1)和保持心理健康(目标2)，因为参与者已暴露于COVID- 19或其社会影响。我们推测大约3年前接受干预的长辈 在调整了年龄后，前COVID的死亡率将比对照条件下的死亡率有下降的趋势， 性别，以及基线时的合并症。我们的研究是解决多民族差异的一个独特机会， 多语种样本，包括4种语言的拉丁裔、亚洲人和黑人参与者，西班牙语，普通话， 广东话和英语。我们建议测试积极心态强健身体的干预是否缓冲 心理健康和残疾影响，通过重新联系参与2015-2019年试验的老年人，以及 与那些将在我们新的实施研究中新登记的人一起。在本附录的第三个目的中，我们 将探讨新冠肺炎疫情对少数族裔/少数族裔长者的日常压力源的影响，以及 他们对公共卫生干预措施的反应，如家庭隔离、社会疏远和孤立、 风险沟通、疾病检测、疫苗接种意向和接触者追踪。拟议的补编将 测试这一联合干预措施对新冠肺炎期间持续准备工作的贡献 同时还提供了一个基于证据的计划，可以支持面对不同的人口 未来的健康危机。

PROJECT SUMMARY Previous studies have shown that major health crises and economic shocks can have negative impacts on mental health, which are worsened when physical quarantine is required. A particularly vulnerable population are those that have physical and emotional problems and are ethnic/racial and linguistic minority elders, many of whom live in areas with high infection rates and lack of appropriate health resources. The ongoing impact of the crisis on minority elders, who may take longer to recover and require longer periods of quarantine, is essential to understand and address. Our proposed supplement extends from the Positive Minds Strong Bodies clinical trial, that showed positive outcomes for this combined mental health and physical disability management and prevention intervention. We seek to assess the long-term effect of this program in reducing elders’ mortality (Aim 1) and maintaining mental health (Aim 2), as participants have been exposed to COVID- 19 or its social effects. We hypothesize that elders who received the intervention approximately 3 years ago pre-COVID will have a lower trend for mortality than those in the control condition, after adjusting for age, gender, and comorbidities at baseline. Our study is a unique opportunity to address disparities in a multiethnic, multilingual sample, including Latino, Asian and Black participants in 4 languages, Spanish, Mandarin, Cantonese and English. We propose to test whether the Positive Minds Strong Bodies intervention buffers mental health and disability impacts, through recontact of elders who participated in the 2015-2019 trial, along with those that will be newly enrolled in our new implementation study. In the third aim of the supplement, we will explore the impact of the COVID-19 pandemic on daily stressors for ethnic/racial minority elders, as well as their responses to public health interventions such as home confinement, social distancing and isolation, mass risk communications, disease testing, intention to vaccinate and contact tracing. The proposed supplement will test the potential for this combined intervention to contribute to ongoing preparedness during the COVID-19 pandemic while also providing an evidence-based program that could support a diverse population in the face of future health crises.