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

项目摘要 以前的研究表明，重大的健康危机和经济冲击可能对健康产生负面影响。 心理健康，当需要进行身体隔离时，心理健康会恶化。特别脆弱的人群 是那些有身体和情绪问题的人，是少数民族/种族和语言的长者，许多 这些人生活在感染率高和缺乏适当卫生资源的地区。的持续影响 少数族裔长者可能需要较长时间康复，并需要较长时间隔离， 理解和解决的关键。我们提出的补充延伸到积极的思想强 身体临床试验，显示了这种精神健康和身体残疾相结合的积极结果 管理和预防干预。我们寻求评估该计划在减少 长者的死亡率（目标1）及维持精神健康（目标2），因为参与者曾接触COVID-19， 19、社会影响我们假设大约3年前接受干预的老年人 在调整年龄后，新冠肺炎前的死亡率趋势将低于对照组， 基线时的性别和合并症。我们的研究是一个独特的机会，以解决在一个多民族， 多语言样本，包括拉丁美洲人，亚洲人和黑人参与者，4种语言，西班牙语，普通话， 广东话和英语。我们建议测试是否积极的思想，强壮的身体干预缓冲 心理健康和残疾的影响，通过重新接触参加2015-2019年试验的老年人，沿着 与那些将新加入我们新的实施研究的人一起。在补充的第三个目标中，我们 将探讨COVID-19大流行对少数族裔/种族长者日常压力的影响，以及 他们对公共卫生干预措施的反应，如家庭隔离，社交距离和隔离，大规模 风险沟通、疾病检测、接种疫苗意向和接触者追踪。拟议的补编将 测试这种联合干预措施在COVID-19期间为持续准备做出贡献的潜力 大流行，同时还提供了一个基于证据的计划，可以支持不同的人口面临 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.